Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600491 |
Resumo: | Objective: To evaluate functional outcomes, radiographic findings and complications of proximal humeral fractures treated with locking plates and to determine prognostic factors for successful clinical outcomes. Methods: Forty patients undergoing internal fixation of fractures of the proximal humerus with the Philos(r) plate were included in the study. The surgeries were performed between 2004 and 2011 and the patients underwent radiographic and clinical evaluation, by Constant -Murley and Dash score. Outcomes were analyzed by use of multivariate regression with several different variables. Results: Patients were on average of 61.8 ± 16.28 years, and most were female (70%). The Constant -Murley score was 72.03 ± 14.01 and Dash score was 24.96 ± 19.99. The postoperative radiographs showed a head-shaft angle of 135.43º± 11.82. Regression analysis showed that the patient's age and the Hertel classification influenced the Constant -Murley scale (p = 0.0049 and 0.012, respectively). Other prognostic criteria such as Neer and AO classification, head-shaft angle, the presence of metaphyseal comminution and extension of the humeral metaphyseal fragment showed no effect on prognosis. Complications occurred in four patients (10%). Conclusion: The fixation with the Philos(r) plate provided good clinical and radiographic results in fractures of the proximal humerus, with a low complication rate. Patient's age and Hertel classification were defined as prognostic factors that led to worse functional outcomes. |
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Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerusHumeral fracturesFracture fixation internalTreatment outcome Objective: To evaluate functional outcomes, radiographic findings and complications of proximal humeral fractures treated with locking plates and to determine prognostic factors for successful clinical outcomes. Methods: Forty patients undergoing internal fixation of fractures of the proximal humerus with the Philos(r) plate were included in the study. The surgeries were performed between 2004 and 2011 and the patients underwent radiographic and clinical evaluation, by Constant -Murley and Dash score. Outcomes were analyzed by use of multivariate regression with several different variables. Results: Patients were on average of 61.8 ± 16.28 years, and most were female (70%). The Constant -Murley score was 72.03 ± 14.01 and Dash score was 24.96 ± 19.99. The postoperative radiographs showed a head-shaft angle of 135.43º± 11.82. Regression analysis showed that the patient's age and the Hertel classification influenced the Constant -Murley scale (p = 0.0049 and 0.012, respectively). Other prognostic criteria such as Neer and AO classification, head-shaft angle, the presence of metaphyseal comminution and extension of the humeral metaphyseal fragment showed no effect on prognosis. Complications occurred in four patients (10%). Conclusion: The fixation with the Philos(r) plate provided good clinical and radiographic results in fractures of the proximal humerus, with a low complication rate. Patient's age and Hertel classification were defined as prognostic factors that led to worse functional outcomes. Sociedade Brasileira de Ortopedia e Traumatologia2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600491Revista Brasileira de Ortopedia v.48 n.6 2013reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2013.12.014info:eu-repo/semantics/openAccessGracitell,Mauro Emilio ConfortoLobo,Frederico LafraiaFerreira,Gustavo Maximiano AlipertiPalma,Marcos Vianna daMalavolta,Eduardo AngeliBenegas,EduardoKojima,Kodi EdsonFerreira Neto,Arnaldo AmadoSilva,Jorge dos Santoseng2014-02-28T00:00:00Zoai:scielo:S0102-36162013000600491Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2014-02-28T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
title |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
spellingShingle |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus Gracitell,Mauro Emilio Conforto Humeral fractures Fracture fixation internal Treatment outcome |
title_short |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
title_full |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
title_fullStr |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
title_full_unstemmed |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
title_sort |
Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus |
author |
Gracitell,Mauro Emilio Conforto |
author_facet |
Gracitell,Mauro Emilio Conforto Lobo,Frederico Lafraia Ferreira,Gustavo Maximiano Aliperti Palma,Marcos Vianna da Malavolta,Eduardo Angeli Benegas,Eduardo Kojima,Kodi Edson Ferreira Neto,Arnaldo Amado Silva,Jorge dos Santos |
author_role |
author |
author2 |
Lobo,Frederico Lafraia Ferreira,Gustavo Maximiano Aliperti Palma,Marcos Vianna da Malavolta,Eduardo Angeli Benegas,Eduardo Kojima,Kodi Edson Ferreira Neto,Arnaldo Amado Silva,Jorge dos Santos |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Gracitell,Mauro Emilio Conforto Lobo,Frederico Lafraia Ferreira,Gustavo Maximiano Aliperti Palma,Marcos Vianna da Malavolta,Eduardo Angeli Benegas,Eduardo Kojima,Kodi Edson Ferreira Neto,Arnaldo Amado Silva,Jorge dos Santos |
dc.subject.por.fl_str_mv |
Humeral fractures Fracture fixation internal Treatment outcome |
topic |
Humeral fractures Fracture fixation internal Treatment outcome |
description |
Objective: To evaluate functional outcomes, radiographic findings and complications of proximal humeral fractures treated with locking plates and to determine prognostic factors for successful clinical outcomes. Methods: Forty patients undergoing internal fixation of fractures of the proximal humerus with the Philos(r) plate were included in the study. The surgeries were performed between 2004 and 2011 and the patients underwent radiographic and clinical evaluation, by Constant -Murley and Dash score. Outcomes were analyzed by use of multivariate regression with several different variables. Results: Patients were on average of 61.8 ± 16.28 years, and most were female (70%). The Constant -Murley score was 72.03 ± 14.01 and Dash score was 24.96 ± 19.99. The postoperative radiographs showed a head-shaft angle of 135.43º± 11.82. Regression analysis showed that the patient's age and the Hertel classification influenced the Constant -Murley scale (p = 0.0049 and 0.012, respectively). Other prognostic criteria such as Neer and AO classification, head-shaft angle, the presence of metaphyseal comminution and extension of the humeral metaphyseal fragment showed no effect on prognosis. Complications occurred in four patients (10%). Conclusion: The fixation with the Philos(r) plate provided good clinical and radiographic results in fractures of the proximal humerus, with a low complication rate. Patient's age and Hertel classification were defined as prognostic factors that led to worse functional outcomes. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600491 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162013000600491 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2013.12.014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.48 n.6 2013 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122359039393792 |