Functional outcome of shoulder hemiarthroplasty for fractures: A multicentre analysis

Injury
Falk ReutherStefaan Nijs

Abstract

In this multicentre study, data on 102 shoulder hemiarthroplasties for the treatment of fractures were analysed retrospectively with regard to tuberosity healing and functional outcome. Clinical outcome was assessed using the constant score (CS) and the American Shoulder and Elbow Score (ASES). The mean follow-up time was 28.1 months. The proportion of patients presenting tuberosity healing was 35.3% (36 out of 102). Anatomical tuberosity healing has a significant effect on CS, especially for lateral elevation (p=0.0076), forward elevation (p=0.0002), power (p=0.0023) and the ASES (p=0.017). However, the pain value of the CS was not influenced by tuberosity healing (p=0.34). In patients with anatomically healed tuberosities, the CS averaged 53.0 points, whereas in the group of patients with non-anatomical tuberosity healing, the score averaged 40.1 points (p=0.0004). There was an 11-fold increase in tuberosity nonunion in females compared with males (p=0.0045). Further, nonunion was seen to be associated with advanced age of >70 years (p=0.037) and the presence of osteoporosis (p=0.034). In this study, we found that anatomical tuberosity healing around the prosthesis improved functional outcome and range of motion.

References

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Citations

Jul 3, 2013·Der Unfallchirurg·M TauberP Habermeyer
Jun 7, 2013·Der Orthopäde·P Habermeyer, P Magosch
Aug 3, 2011·Current Reviews in Musculoskeletal Medicine·Craig S Mauro
Aug 21, 2014·Archives of Orthopaedic and Trauma Surgery·Eduard Alentorn-GeliCarles Torrens
Oct 12, 2012·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H LillC Voigt
Jul 10, 2013·Journal of Shoulder and Elbow Surgery·Pascal BoileauDaniel G Schwartz
Dec 18, 2010·Injury·Mohit Bhandari, Peter V Giannoudis
Sep 5, 2014·Journal of Orthopaedic Trauma·Jason R FerrelRichard A Fischer
Oct 12, 2016·Journal of Shoulder and Elbow Surgery·Anshuman SinghRonald A Navarro
Sep 21, 2013·The Journal of Bone and Joint Surgery. American Volume·Surena NamdariKeith Baldwin
Sep 28, 2012·The Journal of Bone and Joint Surgery. British Volume·V I RobertsR Pandey
Feb 27, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·E BoyerL Obert

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