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Journal of Orthopaedic Science

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01-09-2011 | Original Article

Outcomes, and factors affecting outcomes, following shoulder hemiarthroplasty for proximal humeral fracture repair

Authors: Jie Liu, Shao-hua Li, Zheng-dong Cai, Lie-ming Lou, Xing Wu, Yu-chang Zhu, Wei-ping Wu

Published in: Journal of Orthopaedic Science | Issue 5/2011

Abstract

Background

Hemiarthroplasty has been applied to treat proximal humeral fracture with variable outcomes. The purpose of this retrospective study was to assess factors affecting outcome in patients following hemiarthroplasty for proximal humeral fracture (PHF) repair.

Methods

Patients with proximal humeral fractures treated over a 6-year period were included. Indications for hemiarthroplasty were severe three-part fractures associated with osteoporosis; four-part fractures with or without dislocation; splitting of the humeral head, or >45% collapse of the humeral head. Surgery outcome and postoperative complications were main outcome measures in this study.

Results

Thirty-three of 47 patients were included in the final analysis (mean age 64.3 years, range 43–82). Mean postoperative follow-up was 44.4 (range 36–57) months. Postoperative complications (shoulder dislocation, mild shoulder subluxation, heterotopic ossification) occurred in seven patients. Healing of the greater and lesser tubercles was abnormal or poor in 18 patients. These patients had significantly higher pain scores (4.0 ± 1.1 vs. 2.2 ± 1.1) and significantly lower capacities for active lifting (79.3 ± 9.6 vs. 121.7 ± 24.3), external rotation (20.7 ± 3.7 vs. 39.2 ± 10.3), and Neer scores (79.2 ± 5.7 vs. 90.6 ± 3.6) versus patients who exhibited complete healing (all P < 0.001). Patient age, type of surgical approach, and fracture type were not major influencers of outcome.

Conclusion

In conclusion, the healing of the greater and lesser tubercles is the major determinant of outcome following hemiarthroplasty for PHF repair.

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Title: Outcomes, and factors affecting outcomes, following shoulder hemiarthroplasty for proximal humeral fracture repair
Authors: Jie Liu
Shao-hua Li
Zheng-dong Cai
Lie-ming Lou
Xing Wu
Yu-chang Zhu
Wei-ping Wu
Publication date: 01-09-2011
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 5/2011
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-011-0113-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Outcomes, and factors affecting outcomes, following shoulder hemiarthroplasty for proximal humeral fracture repair

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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