{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:24:37Z","timestamp":1788888277907,"version":"build-2803163510"},"reference-count":44,"publisher":"Deutscher Arzte-Verlag GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"DOI":"10.3238\/arztebl.m2021.0326","type":"journal-article","created":{"date-parts":[[2021,11,24]],"date-time":"2021-11-24T07:49:37Z","timestamp":1637740177000},"source":"Crossref","is-referenced-by-count":18,"title":["The surgical treatment of proximal humeral fractures in elderly patients\u2014an analysis of the long-term course of locked plate fixation and reverse total shoulder arthroplasty based on health insurance data"],"prefix":"10.3238","author":[{"given":"Josef","family":"Stolberg-Stolberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette","family":"K\u00f6ppe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Rischen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Freist\u00fchler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Faldum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Christoph","family":"Katthagen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11437","published-online":{"date-parts":[[2021,12,3]]},"reference":[{"key":"10.3238\/arztebl.m2021.0326_ref1","doi-asserted-by":"crossref","unstructured":"Launonen AP, Lepola V, Saranko A, Flinkkil\u00e4 T, Laitinen M, Mattila VM: Epidemiology of proximal humerus fractures. Arch Osteoporos 2015; 10: 209","DOI":"10.1007\/s11657-015-0209-4"},{"key":"10.3238\/arztebl.m2021.0326_ref2","doi-asserted-by":"crossref","unstructured":"Taskesen A, G\u00f6\u00e7er A, Uzel K, Yarad&#305;lm&#305;&#351; YU: Effect of osteoporosis on proximal humerus fractures. Geriatr Orthop Surg Rehabil 2020; 11: 2151459320985399","DOI":"10.1177\/2151459320985399"},{"key":"10.3238\/arztebl.m2021.0326_ref3","doi-asserted-by":"crossref","unstructured":"Curtis EM, Moon RJ, Harvey NC, Cooper C: The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide. Bone 2017; 104: 29\u201338","DOI":"10.1016\/j.bone.2017.01.024"},{"key":"10.3238\/arztebl.m2021.0326_ref4","doi-asserted-by":"crossref","unstructured":"Soles GL, Tornetta P 3rd: Multiple trauma in the elderly: new management perspectives. J Orthop Trauma 2011; 25 Suppl 2: S61\u20135","DOI":"10.1097\/BOT.0b013e31821b8a3b"},{"key":"10.3238\/arztebl.m2021.0326_ref5","doi-asserted-by":"crossref","unstructured":"Laux CJ, Grubhofer F, Werner CML, Simmen HP, Osterhoff G: Current concepts in locking plate fixation of proximal humerus fractures. J Orthop Surg Res 2017; 12: 137.","DOI":"10.1186\/s13018-017-0639-3"},{"key":"10.3238\/arztebl.m2021.0326_ref6","doi-asserted-by":"crossref","unstructured":"Rugg CM, Coughlan MJ, Lansdown DA: Reverse total shoulder arthroplasty: biomechanics and indications. Curr Rev Musculoskelet Med 2019; 12: 542\u201353","DOI":"10.1007\/s12178-019-09586-y"},{"key":"10.3238\/arztebl.m2021.0326_ref7","doi-asserted-by":"crossref","unstructured":"Haasters F, Siebenb\u00fcrger G, Helfen T, Daferner M, B\u00f6cker W, Ockert B: Complications of locked plating for proximal humeral fractures\u2014are we getting any better? J Shoulder Elbow Surg 2016; 25: e295\u2013303","DOI":"10.1016\/j.jse.2016.02.015"},{"key":"10.3238\/arztebl.m2021.0326_ref8","doi-asserted-by":"crossref","unstructured":"Klug A, Wincheringer D, Harth J, Schmidt-Horloh\u00e9 K, Hoffmann R, Gramlich Y: Complications after surgical treatment of proximal humerus fractures in the elderly\u2014an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. J Shoulder Elbow Surg 2019; 28: 1674\u201384","DOI":"10.1016\/j.jse.2019.02.017"},{"key":"10.3238\/arztebl.m2021.0326_ref9","doi-asserted-by":"crossref","unstructured":"Klug A, Gramlich Y, Wincheringer D, Schmidt-Horloh\u00e9 K, Hoffmann R: Trends in surgical management of proximal humeral fractures in adults: a nationwide study of records in Germany from 2007 to 2016. Arch Orthop Trauma Surg 2019; 139: 1713\u201321","DOI":"10.1007\/s00402-019-03252-1"},{"key":"10.3238\/arztebl.m2021.0326_ref10","doi-asserted-by":"crossref","unstructured":"Barlow JD, Logli AL, Steinmann SP, et al.: Locking plate fixation of proximal humerus fractures in patients older than 60 years continues to be associated with a high complication rate. J Shoulder Elbow Surg 2020; 29: 1689\u201394","DOI":"10.1016\/j.jse.2019.11.026"},{"key":"10.3238\/arztebl.m2021.0326_ref11","doi-asserted-by":"crossref","unstructured":"Kriechling P, Loucas R, Loucas M, K\u00fcnzler T, Gerber C, Wieser K: Primary reverse total shoulder arthroplasty in patients older than 80 years: clinical and radiologic outcome measures. J Shoulder Elbow Surg 2021; 30: 877\u201383","DOI":"10.1016\/j.jse.2020.07.032"},{"key":"10.3238\/arztebl.m2021.0326_ref12","doi-asserted-by":"crossref","unstructured":"Fraser AN, Bj\u00f8rdal J, Wagle TM, et al.: Reverse shoulder arthroplasty is superior to plate fixation at 2 years for displaced proximal humeral fractures in the elderly: a multicenter randomized controlled trial. J Bone Joint Surg Am 2020; 102: 477\u201385","DOI":"10.2106\/JBJS.19.01071"},{"key":"10.3238\/arztebl.m2021.0326_ref13","doi-asserted-by":"crossref","unstructured":"Giardella A, Ascione F, Mocchi M, et al.: Reverse total shoulder versus angular stable plate treatment for proximal humeral fractures in over 65 years old patients. Muscles Ligaments Tendons J 2017; 7: 271\u20138","DOI":"10.11138\/mltj\/2017.7.2.271"},{"key":"10.3238\/arztebl.m2021.0326_ref14","doi-asserted-by":"crossref","unstructured":"Klug A, Harth J, Hoffmann R, Gramlich Y: Surgical treatment of complex proximal humeral fractures in elderly patients: a matched-pair analysis of angular-stable plating vs. reverse shoulder arthroplasty. J Shoulder Elbow Surg 2020; 29: 1796\u2013803","DOI":"10.1016\/j.jse.2020.01.073"},{"key":"10.3238\/arztebl.m2021.0326_ref15","doi-asserted-by":"crossref","unstructured":"L\u00fcbbeke A, Rees JL, Barea C, Combescure C, Carr AJ, Silman AJ: International variation in shoulder arthroplasty. Acta Orthop 2017; 88: 592\u20139","DOI":"10.1080\/17453674.2017.1368884"},{"key":"10.3238\/arztebl.m2021.0326_ref16","doi-asserted-by":"crossref","unstructured":"Cho CH, Song KS, Koo TW: Clinical outcomes and complications during the learning curve for reverse total shoulder arthroplasty: an analysis of the first 40 cases. Clin Orthop Surg 2017; 9: 213\u20137","DOI":"10.4055\/cios.2017.9.2.213"},{"key":"10.3238\/arztebl.m2021.0326_ref17","doi-asserted-by":"crossref","unstructured":"LaMartina J, 2nd, Christmas KN, Simon P, et al.: Difficulty in decision making in the treatment of displaced proximal humerus fractures: the effect of uncertainty on surgical outcomes. J Shoulder Elbow Surg 2018; 27: 470\u20137","DOI":"10.1016\/j.jse.2017.09.033"},{"key":"10.3238\/arztebl.m2021.0326_ref18","doi-asserted-by":"crossref","unstructured":"Spross C, Meester J, Mazzucchelli RA, Pusk\u00e1s GJ, Zdravkovic V, Jost B: Evidence-based algorithm to treat patients with proximal humerus fractures\u2014 a prospective study with early clinical and overall performance results. J Shoulder Elbow Surg 2019; 28: 1022\u201332","DOI":"10.1016\/j.jse.2019.02.015"},{"key":"10.3238\/arztebl.m2021.0326_ref19","doi-asserted-by":"crossref","unstructured":"K\u00f6ppe J, Stolberg-Stolberg J, Rischen R, Faldum A, Raschke MJ, Katthagen JC: In-hospital complications are more likely to occur after reverse shoulder arthroplasty than after locked plating for proximal humeral fractures. Clin Orthop Relat Res 2021","DOI":"10.1097\/CORR.0000000000001776"},{"key":"10.3238\/arztebl.m2021.0326_ref20","doi-asserted-by":"crossref","unstructured":"Adam J, Basil Ammori M, Isah I, Jeyam M, Butt U: Mortality after inpatient stay for proximal humeral fractures. J Shoulder Elbow Surg 2020; 29: e22\u20138","DOI":"10.1016\/j.jse.2019.05.030"},{"key":"10.3238\/arztebl.m2021.0326_ref21","doi-asserted-by":"crossref","unstructured":"Bergdahl C, Wennergren D, Ekelund J, Moller M: Mortality after a proximal humeral fracture. Bone Joint J 2020: 1\u20137","DOI":"10.1302\/0301-620X.102B11.BJJ-2020-0627.R1"},{"key":"10.3238\/arztebl.m2021.0326_ref22","doi-asserted-by":"crossref","unstructured":"Fehringer EV, Mikuls TR, Michaud KD, Henderson WG, O\u2019Dell JR: Shoulder arthroplasties have fewer complications than hip or knee arthroplasties in US veterans. Clin Orthop Relat Res 2010; 468: 717\u201322","DOI":"10.1007\/s11999-009-0996-2"},{"key":"10.3238\/arztebl.m2021.0326_ref23","doi-asserted-by":"crossref","unstructured":"Farmer KW, Hammond JW, Queale WS, Keyurapan E, McFarland EG: Shoulder arthroplasty versus hip and knee arthroplasties: a comparison of outcomes. Clin Orthop Relat Res 2007; 455: 183\u20139","DOI":"10.1097\/01.blo.0000238839.26423.8d"},{"key":"10.3238\/arztebl.m2021.0326_ref24","doi-asserted-by":"crossref","unstructured":"Alentorn-Geli E, Clark NJ, Assenmacher AT, et al.: What are the complications, survival, and outcomes after revision to reverse shoulder arthroplasty in patients older than 80 years? Clin Orthop Relat Res 2017; 475: 2744\u201351","DOI":"10.1007\/s11999-017-5406-6"},{"key":"10.3238\/arztebl.m2021.0326_ref25","doi-asserted-by":"crossref","unstructured":"Wilson LA, Gooding BW, Manning PA, Wallace WA, Geoghegan JM: Risk factors and predictors of mortality for proximal humeral fractures. Shoulder Elbow 2014; 6: 95\u20139","DOI":"10.1177\/1758573214525761"},{"key":"10.3238\/arztebl.m2021.0326_ref26","doi-asserted-by":"crossref","unstructured":"van Eck CF, Klein CM, Rahmi H, et al.: Morbidity, mortality and cost of osteoporotic fractures\u2014should proximal humerus fractures be taken as seriously as hip fractures? Ann Joint 2019; 4: 3","DOI":"10.21037\/aoj.2019.01.01"},{"key":"10.3238\/arztebl.m2021.0326_ref27","doi-asserted-by":"crossref","unstructured":"Heyer JH, Parker RL, Lynch T, Parry T, Neviaser AS: Rate of venous thromboembolism after surgical treatment of proximal humerus fractures. Arch Orthop Trauma Surg 2021; 141: 403\u20139","DOI":"10.1007\/s00402-020-03505-4"},{"key":"10.3238\/arztebl.m2021.0326_ref28","doi-asserted-by":"crossref","unstructured":"Hoxie SC, Sperling JW, Cofield RH: Pulmonary embolism after operative treatment of proximal humeral fractures. J Shoulder Elbow Surg 2007; 16: 782\u20133","DOI":"10.1016\/j.jse.2006.12.004"},{"key":"10.3238\/arztebl.m2021.0326_ref29","doi-asserted-by":"crossref","unstructured":"Widmer BJ, Bassora R, Warrender WJ, Abboud JA: Thromboembolic events are uncommon after open treatment of proximal humerus fractures using aspirin and compression devices. Clin Orthop Relat Res 2011; 469: 3332\u20136","DOI":"10.1007\/s11999-011-1942-7"},{"key":"10.3238\/arztebl.m2021.0326_ref30","doi-asserted-by":"crossref","unstructured":"Chalmers PN, Gupta AK, Rahman Z, Bruce B, Romeo AA, Nicholson GP: Predictors of early complications of total shoulder arthroplasty. J Arthroplasty 2014; 29: 856\u201360","DOI":"10.1016\/j.arth.2013.07.002"},{"key":"10.3238\/arztebl.m2021.0326_ref31","doi-asserted-by":"crossref","unstructured":"Sproul RC, Iyengar JJ, Devcic Z, Feeley BT: A systematic review of locking plate fixation of proximal humerus fractures. Injury 2011; 42: 408\u201313","DOI":"10.1016\/j.injury.2010.11.058"},{"key":"10.3238\/arztebl.m2021.0326_ref32","doi-asserted-by":"crossref","unstructured":"Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH: Complications in reverse shoulder arthroplasty. EFORT Open Rev 2016; 1: 72\u201380","DOI":"10.1302\/2058-5241.1.160003"},{"key":"10.3238\/arztebl.m2021.0326_ref33","unstructured":"Kaisidis A, Pantos PG, Heger H, Bochlos D, Selimas S, Oikonomoulas V: Reverse shoulder arthroplasty for the treatment of three and four part fractures of the proximal humerus in patients older than 75 years old. Acta Orthop Belg 2014; 80: 99\u2013105."},{"key":"10.3238\/arztebl.m2021.0326_ref34","doi-asserted-by":"crossref","unstructured":"Katthagen JC, Hesse E, Lill H, et al.: Outcomes and revision rates of primary vs. secondary reverse total shoulder arthroplasty for proximal humeral fractures. Obere Extremit\u00e4t 2020; 15: 35\u201341","DOI":"10.1007\/s11678-020-00559-z"},{"key":"10.3238\/arztebl.m2021.0326_ref35","doi-asserted-by":"crossref","unstructured":"Rubenstein WJ, Lansdown DA, Feeley BT, Ma CB, Zhang AL: The impact of body mass index on complications after shoulder arthroscopy: should surgery eligibility be determined by body mass index cutoffs? Arthroscopy 2019; 35: 741\u20136","DOI":"10.1016\/j.arthro.2018.10.136"},{"key":"10.3238\/arztebl.m2021.0326_ref36","doi-asserted-by":"crossref","unstructured":"Aronow WS: Management of hypertension in patients undergoing surgery. Ann Transl Med 2017; 5: 227","DOI":"10.21037\/atm.2017.03.54"},{"key":"10.3238\/arztebl.m2021.0326_ref37","unstructured":"Ponce BA, Yu JC, Menendez ME, Oladeji LO: Analysis of predictors and outcomes of allogenic blood transfusion after shoulder arthroplasty. Am J Orthop (Belle Mead NJ) 2015; 44: E486\u201392."},{"key":"10.3238\/arztebl.m2021.0326_ref38","doi-asserted-by":"crossref","unstructured":"Neuhaus V, Bot AG, Swellengrebel CH, Jain NB, Warner JJ, Ring DC: Treatment choice affects inpatient adverse events and mortality in older aged inpatients with an isolated fracture of the proximal humerus. J Shoulder Elbow Surg 2014; 23: 800\u20136","DOI":"10.1016\/j.jse.2013.09.006"},{"key":"10.3238\/arztebl.m2021.0326_ref39","doi-asserted-by":"crossref","unstructured":"Malle O, Borgstroem F, Fahrleitner-Pammer A, Svedbom A, Dimai SV, Dimai HP: Mind the gap: incidence of osteoporosis treatment after an osteoporotic fracture \u2013 results of the Austrian branch of the international costs and utilities related to Osteoporotic Fractures Study (ICUROS). Bone 2021; 142: 115071","DOI":"10.1016\/j.bone.2019.115071"},{"key":"10.3238\/arztebl.m2021.0326_ref40","doi-asserted-by":"crossref","unstructured":"Jung HS, Nho JH, Ha YC, et al.: Incidence of osteoporotic refractures following proximal humerus fractures in adults aged 50 years and older in Korea. J Bone Metab 2019; 26: 105\u201311","DOI":"10.11005\/jbm.2019.26.2.105"},{"key":"10.3238\/arztebl.m2021.0326_ref41","doi-asserted-by":"crossref","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40: 373\u201383","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"10.3238\/arztebl.m2021.0326_ref42","doi-asserted-by":"crossref","unstructured":"Quan H, Li B, Couris CM, et al.: Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol 2011; 173: 676\u201382","DOI":"10.1093\/aje\/kwq433"},{"key":"10.3238\/arztebl.m2021.0326_ref43","doi-asserted-by":"crossref","unstructured":"Stausberg J, Hagn S: New morbidity and comorbidity scores based on the structure of the ICD-10. PLoS One 2015; 10: e0143365","DOI":"10.1371\/journal.pone.0143365"},{"key":"10.3238\/arztebl.m2021.0326_ref44","doi-asserted-by":"crossref","unstructured":"Koeppe J, Katthagen JC, Rischen R, et al.: Male sex is associated with higher mortality and increased risk for complications after surgical treatment of proximal humeral fractures. J Clin Med 2021; 10: 2500","DOI":"10.3390\/jcm10112500"}],"container-title":["Deutsches \u00c4rzteblatt international"],"original-title":[],"link":[{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2021.0326","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T10:21:47Z","timestamp":1638786107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2021.0326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,3]]},"references-count":44,"URL":"https:\/\/doi.org\/10.3238\/arztebl.m2021.0326","relation":{},"ISSN":["1866-0452"],"issn-type":[{"value":"1866-0452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,3]]}}}