{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:53:36Z","timestamp":1782514416895,"version":"3.54.5"},"reference-count":31,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p>Patients with pain and loss of shoulder function due to nonunion of a fracture of the proximal third of the humerus may benefit from reverse total shoulder replacement. This paper reports a prospective, multicentre study, involving three hospitals and three surgeons, of 35 patients (28 women, seven men) with a mean age of 69 years (46 to 83) who underwent a reverse total shoulder replacement for the treatment of nonunion of a fracture of the proximal humerus. Using Checchia\u2019s classification, nine nonunions were type I, eight as type II, 12 as type III and six as type IV. The mean follow-up was 51 months (24 to 99). Post-operatively, the patients had a significant decrease in pain (p &lt; 0.001), and a significant improvement in flexion, abduction, external rotation and Constant score (p &lt; 0.001), but not in internal rotation. A total of nine complications were recorded in seven patients: six dislocations, one glenoid loosening in a patient who had previously suffered dislocation, one transitory paresis of the axillary nerve and one infection.<\/jats:p><jats:p>Reverse total shoulder replacement may lead to a significant reduction in pain, improvement in function and a high degree of satisfaction. However, the rate of complications, particularly dislocation, was high.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014;96-B:1239\u201343.<\/jats:p>","DOI":"10.1302\/0301-620x.96b9.33157","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:23:37Z","timestamp":1409667817000},"page":"1239-1243","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":44,"title":["Reverse total shoulder replacement for nonunion of a fracture of the proximal humerus"],"prefix":"10.1302","volume":"96-B","author":[{"given":"M.","family":"Zafra","sequence":"first","affiliation":[{"name":"Instituto de Traumatolog\u00eda Cordobes, Arruzafilla Avenue S\/N 14011, C\u00f3rdoba, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Uceda","sequence":"additional","affiliation":[{"name":"University Hospital Reina Sof\u00eda, Menendez Pidal Avenue, 14004, C\u00f3rdoba, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Flores","sequence":"additional","affiliation":[{"name":"University Hospital Puerta del Mar, Ana de Viya avenue 21, 11009 C\u00e1diz, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Carpintero","sequence":"additional","affiliation":[{"name":"University Hospital Reina Sofia, Menendez Pidal Avenue, Cordoba, 14004, Spain."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","unstructured":"Norris TR, Turner JA, Bovill DNonunion of the upper humerus: an analysis of the etiology and treatment in 28 cases. 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