Cargando…

Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?

Background and Objectives: The aim of this study was to evaluate whether device removal in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture improves the clinical outcomes. Materials and Methods: Seventy-one patients who underwent fixed-angle locking plate os...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Beom-Soo, Kim, Du-Han, Choi, Jung-Hoon, Choi, Byung-Chan, Cho, Chul-Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949819/
https://www.ncbi.nlm.nih.gov/pubmed/35334558
http://dx.doi.org/10.3390/medicina58030382
_version_ 1784674994203131904
author Kim, Beom-Soo
Kim, Du-Han
Choi, Jung-Hoon
Choi, Byung-Chan
Cho, Chul-Hyun
author_facet Kim, Beom-Soo
Kim, Du-Han
Choi, Jung-Hoon
Choi, Byung-Chan
Cho, Chul-Hyun
author_sort Kim, Beom-Soo
collection PubMed
description Background and Objectives: The aim of this study was to evaluate whether device removal in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture improves the clinical outcomes. Materials and Methods: Seventy-one patients who underwent fixed-angle locking plate osteosynthesis of a proximal humerus fracture were included. Thirty-three patients underwent device removal at a mean time of 10.4 months after index surgery (removal group). Thirty-eight patients who retained the device after index surgery (retention group) were included in the control group. Visual analog scale (VAS) pain score, University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and range of motion (ROM) were evaluated pre- and postoperatively. Results: At the final follow-up, mean UCLA score, ASES score, and all ROMs were significantly higher in the removal group compared to the retention group (p < 0.001). However, no significant difference in mean VAS pain score was observed between the two groups. Comparison of the clinical outcomes before and after device removal surgery showed significant improvement in all clinical scores and ROMs after device removal (p < 0.001). Conclusions: Device removal surgery in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture can result in significant improvement in functional outcomes.
format Online
Article
Text
id pubmed-8949819
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-89498192022-03-26 Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures? Kim, Beom-Soo Kim, Du-Han Choi, Jung-Hoon Choi, Byung-Chan Cho, Chul-Hyun Medicina (Kaunas) Article Background and Objectives: The aim of this study was to evaluate whether device removal in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture improves the clinical outcomes. Materials and Methods: Seventy-one patients who underwent fixed-angle locking plate osteosynthesis of a proximal humerus fracture were included. Thirty-three patients underwent device removal at a mean time of 10.4 months after index surgery (removal group). Thirty-eight patients who retained the device after index surgery (retention group) were included in the control group. Visual analog scale (VAS) pain score, University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and range of motion (ROM) were evaluated pre- and postoperatively. Results: At the final follow-up, mean UCLA score, ASES score, and all ROMs were significantly higher in the removal group compared to the retention group (p < 0.001). However, no significant difference in mean VAS pain score was observed between the two groups. Comparison of the clinical outcomes before and after device removal surgery showed significant improvement in all clinical scores and ROMs after device removal (p < 0.001). Conclusions: Device removal surgery in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture can result in significant improvement in functional outcomes. MDPI 2022-03-04 /pmc/articles/PMC8949819/ /pubmed/35334558 http://dx.doi.org/10.3390/medicina58030382 Text en © 2022 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
Kim, Beom-Soo
Kim, Du-Han
Choi, Jung-Hoon
Choi, Byung-Chan
Cho, Chul-Hyun
Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title_full Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title_fullStr Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title_full_unstemmed Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title_short Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?
title_sort is device removal necessary after fixed-angle locking plate osteosynthesis of proximal humerus fractures?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949819/
https://www.ncbi.nlm.nih.gov/pubmed/35334558
http://dx.doi.org/10.3390/medicina58030382
work_keys_str_mv AT kimbeomsoo isdeviceremovalnecessaryafterfixedanglelockingplateosteosynthesisofproximalhumerusfractures
AT kimduhan isdeviceremovalnecessaryafterfixedanglelockingplateosteosynthesisofproximalhumerusfractures
AT choijunghoon isdeviceremovalnecessaryafterfixedanglelockingplateosteosynthesisofproximalhumerusfractures
AT choibyungchan isdeviceremovalnecessaryafterfixedanglelockingplateosteosynthesisofproximalhumerusfractures
AT chochulhyun isdeviceremovalnecessaryafterfixedanglelockingplateosteosynthesisofproximalhumerusfractures