Successful hemiarthroplasty for fracture requires healing of the tuberosities. When this doesn’t occur, results are universally poor.1 An alternate solution in patients at risk for tuberosity healing, especially in the elderly, is the reversed prosthesis. A reversed shoulder system in these specific cases can offer more predictable results and deliver the best possible outcome for the patient. Tornier offers the Aequalis™ Reversed Fracture Shoulder Prosthesis, designed specifically for three- and four-part humeral fractures. Because successful patient outcomes rely on proper fracture healing, surgeons need to rely on a shoulder prosthesis that is specifically designed to address this clinical need. With Tornier’s Reversed Fracture prosthesis, patients can enjoy improved functional results through better tuberosity reduction, and fixation of the tuberosities, along with increased opportunity for osteointegration. In one study of 38 patients, a greater level of predictability in results was demonstrated when Reversed Total Shoulder arthroplasty was used for proximal humeral fractures.