The timing of reverse shoulder arthroplasty for trauma.

• Research type

  Research Study

• Full title

  The timing of reverse shoulder arthroplasty for trauma: Early vs delayed intervention

• IRAS ID

  198943

• Contact name

  Amar Malhas

• Contact email

  amarmalhas@nhs.net

• Sponsor organisation

  Wrightington, Wigan and Leigh NHS Trust

• Duration of Study in the UK

  0 years, 4 months, 0 days

• Research summary

  Shoulder fractures (proximal humerus) can be difficult to treat and can often leave patients with ongoing pain and stiffness. For elderly patients, a joint replacement operation can be a good option to give predicable results. Recent evidence increasingly supports the use of reverse shoulder replacements for un-reconstructable shoulder fractures. It is less clear if this operation should be performed acutely (within 14 days) or if it is better to let the fracture heal and replace it at a later date. It is also unclear if results are poorer if there is a failed attempt to fix the fracture before replacing the joint.
  We aim to compare the complication rates and outcomes of reverse shoulder replacements between acute fractures (within 14 days), poorly healed fractures treated non-operatively and in patients who have had a failed attempt at fixing the fracture. We hope this data will, in the future, help guide surgeon as to which options can give patients the best results and the fewest complications in treating this difficult to manage injury.
  The study will be a retrospective case note review of all patients undergoing a reverse shoulder replacement for trauma in the last 5 years at Wrightington, Wigan and Leigh NHS trust and the administration of standardised patient related and functional outcome score questionnaires. The questionnaires will be administered in clinic or as postal questionnaires. We have received no funding for this project and have no conflict of interests to declare. Apart from the addition of a voluntary questionnaire, there will be no change in the standard management and investigation of patients. All patient data will be anonomised and handled with strict adherence to Caldicott guidelines.

• REC name

  South West - Cornwall & Plymouth Research Ethics Committee

• REC reference

  16/SW/0047

• Date of REC Opinion

  1 Mar 2016

• REC opinion

  Further Information Favourable Opinion