Cargando…

Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus

Background: The aim of this study was to evaluate the clinical outcome after humeral head preserving surgical treatment of posterior fracture dislocations of the proximal humerus. Methods: Patients with a posterior fracture dislocation of the proximal humerus that were operatively treated in two lev...

Descripción completa

Detalles Bibliográficos
Autores principales: Heilmann, Lukas F., Katthagen, J. Christoph, Raschke, Michael J., Schliemann, Benedikt, Lill, Helmut, El Bajjati, Hassan, Jensen, Gunnar, Dey Hazra, Rony-Orijit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432246/
https://www.ncbi.nlm.nih.gov/pubmed/34501288
http://dx.doi.org/10.3390/jcm10173841
_version_ 1783751120689037312
author Heilmann, Lukas F.
Katthagen, J. Christoph
Raschke, Michael J.
Schliemann, Benedikt
Lill, Helmut
El Bajjati, Hassan
Jensen, Gunnar
Dey Hazra, Rony-Orijit
author_facet Heilmann, Lukas F.
Katthagen, J. Christoph
Raschke, Michael J.
Schliemann, Benedikt
Lill, Helmut
El Bajjati, Hassan
Jensen, Gunnar
Dey Hazra, Rony-Orijit
author_sort Heilmann, Lukas F.
collection PubMed
description Background: The aim of this study was to evaluate the clinical outcome after humeral head preserving surgical treatment of posterior fracture dislocations of the proximal humerus. Methods: Patients with a posterior fracture dislocation of the proximal humerus that were operatively treated in two level-1 trauma centers within a timeframe of 8 years were identified. With a minimum follow-up of 2 years, patients with humeral head preserving surgical treatment were invited for examination. Results: 19/24 fractures (79.2%; mean age 43 years) were examined with a mean follow-up of 4.1 ± 2.1 years. Of these, 12 fractures were categorized as posteriorly dislocated impression type fractures, and 7 fractures as posteriorly dislocated surgical neck fractures. Most impression type fractures were treated by open reduction, allo- or autograft impaction and screw fixation (n = 11), while most surgical neck fractures were treated with locked plating (n = 6). Patients with impression type fractures showed significantly better ASES scores (p = 0.041), Simple Shoulder Test scores (p = 0.003), Rowe scores (p = 0.013) and WOSI scores (p = 0.023), when compared to posteriorly dislocated surgical neck fractures. Range of motion was good to excellent for both groups with no significant difference. Conclusions: This mid-term follow-up study reports good to very good clinical results for humeral head preserving treatment.
format Online
Article
Text
id pubmed-8432246
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84322462021-09-11 Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus Heilmann, Lukas F. Katthagen, J. Christoph Raschke, Michael J. Schliemann, Benedikt Lill, Helmut El Bajjati, Hassan Jensen, Gunnar Dey Hazra, Rony-Orijit J Clin Med Article Background: The aim of this study was to evaluate the clinical outcome after humeral head preserving surgical treatment of posterior fracture dislocations of the proximal humerus. Methods: Patients with a posterior fracture dislocation of the proximal humerus that were operatively treated in two level-1 trauma centers within a timeframe of 8 years were identified. With a minimum follow-up of 2 years, patients with humeral head preserving surgical treatment were invited for examination. Results: 19/24 fractures (79.2%; mean age 43 years) were examined with a mean follow-up of 4.1 ± 2.1 years. Of these, 12 fractures were categorized as posteriorly dislocated impression type fractures, and 7 fractures as posteriorly dislocated surgical neck fractures. Most impression type fractures were treated by open reduction, allo- or autograft impaction and screw fixation (n = 11), while most surgical neck fractures were treated with locked plating (n = 6). Patients with impression type fractures showed significantly better ASES scores (p = 0.041), Simple Shoulder Test scores (p = 0.003), Rowe scores (p = 0.013) and WOSI scores (p = 0.023), when compared to posteriorly dislocated surgical neck fractures. Range of motion was good to excellent for both groups with no significant difference. Conclusions: This mid-term follow-up study reports good to very good clinical results for humeral head preserving treatment. MDPI 2021-08-27 /pmc/articles/PMC8432246/ /pubmed/34501288 http://dx.doi.org/10.3390/jcm10173841 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Heilmann, Lukas F.
Katthagen, J. Christoph
Raschke, Michael J.
Schliemann, Benedikt
Lill, Helmut
El Bajjati, Hassan
Jensen, Gunnar
Dey Hazra, Rony-Orijit
Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title_full Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title_fullStr Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title_full_unstemmed Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title_short Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
title_sort promising mid-term outcomes after humeral head preserving surgery of posterior fracture dislocations of the proximal humerus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432246/
https://www.ncbi.nlm.nih.gov/pubmed/34501288
http://dx.doi.org/10.3390/jcm10173841
work_keys_str_mv AT heilmannlukasf promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT katthagenjchristoph promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT raschkemichaelj promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT schliemannbenedikt promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT lillhelmut promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT elbajjatihassan promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT jensengunnar promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus
AT deyhazraronyorijit promisingmidtermoutcomesafterhumeralheadpreservingsurgeryofposteriorfracturedislocationsoftheproximalhumerus