Abstract
Reverse total shoulder arthroplasty has become popular for primary replacement in complex proximal humerus fractures. Hemiarthroplasty and open reduction and internal fixation (ORIF) with locked plating were the treatment of choice but with variable functional outcomes and concerns of glenohumeral arthritis, rotator cuff problems, and tuberosity healing difficulties. This is especially concerning in the older population that has a higher incidence of rotator cuff problems and poor bone quality. Reverse total shoulder arthroplasty has resulted in excellent pain relief and seems to have a more consistent functional outcome in early reports when compared to hemiarthroplasty.
