Joint replacement (primary): hip, knee and shoulder

Recommendation ID: NG157/13
Question: In adults having primary elective shoulder replacement for pain and functional loss after a previous proximal humeral fracture (not acute trauma), what is the clinical and cost effectiveness of reverse total shoulder replacement compared with humeral hemiarthroplasty?
Any explanatory notes (if applicable): Full details of the research recommendation are in evidence review O: hemiarthroplasty – proximal humeral fracture.

Why the committee were unable to make recommendations for practice

The committee looked at 3 types of procedures for people with a previous proximal humeral fracture: reverse total shoulder replacement, humeral hemiarthroplasty and conventional total shoulder replacement. They were unable to make recommendations for practice because of a lack of evidence. They made a recommendation for research on procedures for shoulder replacement for people with a previous proximal humeral fracture.

Source guidance details

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No
Last Reviewed	01/06/2020