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Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus
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 humeru...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565971/ https://www.ncbi.nlm.nih.gov/pubmed/31304159 http://dx.doi.org/10.1016/j.rboe.2013.12.014 |
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author | Gracitelli, Mauro Emilio Conforto Lobo, Frederico Lafraia Ferreira, Gustavo Maximiano Aliperti da Palma, Marcos Vianna Malavolta, Eduardo Angeli Benegas, Eduardo Kojima, Kodi Edson Neto, Arnaldo Amado Ferreira dos Santos Silva, Jorge |
author_facet | Gracitelli, Mauro Emilio Conforto Lobo, Frederico Lafraia Ferreira, Gustavo Maximiano Aliperti da Palma, Marcos Vianna Malavolta, Eduardo Angeli Benegas, Eduardo Kojima, Kodi Edson Neto, Arnaldo Amado Ferreira dos Santos Silva, Jorge |
author_sort | Gracitelli, Mauro Emilio Conforto |
collection | PubMed |
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(®) 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 135.43° ± 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(®) 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. |
format | Online Article Text |
id | pubmed-6565971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-65659712019-07-12 Outcomes evaluation of locking plate osteosynthesis in displaced fractures of the proximal humerus Gracitelli, Mauro Emilio Conforto Lobo, Frederico Lafraia Ferreira, Gustavo Maximiano Aliperti da Palma, Marcos Vianna Malavolta, Eduardo Angeli Benegas, Eduardo Kojima, Kodi Edson Neto, Arnaldo Amado Ferreira dos Santos Silva, Jorge Rev Bras Ortop Original Article 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(®) 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 135.43° ± 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(®) 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. Elsevier 2013-12-25 /pmc/articles/PMC6565971/ /pubmed/31304159 http://dx.doi.org/10.1016/j.rboe.2013.12.014 Text en © 2013 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Gracitelli, Mauro Emilio Conforto Lobo, Frederico Lafraia Ferreira, Gustavo Maximiano Aliperti da Palma, Marcos Vianna Malavolta, Eduardo Angeli Benegas, Eduardo Kojima, Kodi Edson Neto, Arnaldo Amado Ferreira dos Santos Silva, Jorge 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 |
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_short | 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 |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6565971/ https://www.ncbi.nlm.nih.gov/pubmed/31304159 http://dx.doi.org/10.1016/j.rboe.2013.12.014 |
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