Quality of life and functional outcome after a 2-part proximal humeral fracture: a prospective cohort study on 50 patients treated with a locking plate
| Autor: | Anita Söderqvist, Per Olerud, Jenny Saving, Leif Ahrengart, Jan Tidermark |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Bone Screws Prosthesis Design Fracture Fixation Internal Quality of life Dash Fracture fixation Bone plate medicine Internal fixation Humans Orthopedics and Sports Medicine Humerus Prospective Studies Range of Motion Articular Prospective cohort study Aged Aged 80 and over business.industry General Medicine Middle Aged Surgery medicine.anatomical_structure Treatment Outcome Quality of Life Shoulder Fractures Female Range of motion business Bone Plates Follow-Up Studies |
| Zdroj: | Journal of shoulder and elbow surgery. 19(6) |
| ISSN: | 1532-6500 |
| Popis: | Background The aim of the study was to report the 2-year outcome after a displaced 2-part fracture of the proximal humerus in elderly patients treated with a locking plate, including an assessment of the health-related quality of life (HRQoL). Material and methods We included 50 patients, mean age 75 (range, 55-93) years with 80% women. The fracture inclusion criteria were a displacement of the shaft of >50% of its width and/or >45° of angulation. Follow-up examinations were performed at 4, 12, and 24 months. The main outcome measures were the Constant and DASH scores and HRQoL according to the EQ-5D. Results Eight patients (16%) were re-operated upon during the study period. At the final follow-up the mean Constant score was 61 and the mean DASH score 32. The EQ-5D index score decreased from 0.86 before the fracture to 0.62 at 4 months. At 12 months the EQ-5D index score was 0.65 and at 24 months 0.68. The values at all follow-ups were significantly lower than before the fracture ( P Conclusion Locking plates appear to be a good treatment alternative in elderly patients with a displaced 2-part fracture of the surgical neck of the proximal humerus with an acceptable complication rate and an acceptable functional outcome; however, rigorous attention has to be paid to avoid screw penetration. Despite the overall acceptable functional outcome, the patients reported a substantial negative effect upon their HRQoL. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect