2 A Systematic Review on Clinical Efficacy and Cost-Effectiveness of Reverse Total Shoulder Arthroplasty or Hemiarthroplasty on Proximal Humeral Fractures

Abstract Introduction Proximal humeral fractures (PHF) are one of the most challenging injuries to treat and recover from. Humeral fracture stems have become popular among individuals undergoing arthroplasty because their superior ability reduce repair tuberosities. This study aims determine better clinical, functional, radiology outcomes cost-effectiveness surgical management PHF Comparison these option. Method systematic review includes literature from multi-database electronic search, i.e., Medline, PubMed, Embase, web science based on PRISMA guideline 2009. The data eligible meeting criteria were extracted analysed. Results Reverse total shoulder (RTSA) provides patients satisfaction more improved functional when compared with hemiarthroplasty. Taking into consideration healthcare perspective payer perspective, RTSA was cost-effective a Our work delivers significant baseline statistics about characteristics related cost approach for PHF. can be considered as beneficial Of following encouraging outcome RTSA. Conclusions favourable short long-term