Health-related quality of life and subjective outcome after shoulder replacement for proximal humeral fractures

Journal of Shoulder and Elbow Surgery
Roberto PaduaLuca Padua

Abstract

Shoulder replacement has increased exponentially in recent decades, and previous studies have documented the effectiveness of this procedure. Pain relief, physical functional level, and health-related quality of life, however, were often not assessed. To our knowledge, no published articles have assessed quality of life in shoulder replacement for fracture. The main purpose of this study was to assess the patient-relevant outcomes in patients who underwent shoulder replacement for proximal humeral fractures. Standardized quality of life and shoulder-specific, self-administered questionnaires were used. On the Medical Outcomes Study Short Form 36 Health Survey, as expected, we observed a lower score in the domain compared with healthy Italian subjects. A surprising finding was that in the General Health and Role-Emotional domains, our sample had a better picture than the healthy one, probably because patients had experienced severe trauma and major surgery previously. These data represent the first step toward the definition of outcome for this procedure. This study does not address the necessity of therapy, but if this were included in future publications, it might provide useful data for therapeutic recommendations.

References

Aug 23, 2001·Journal of Shoulder and Elbow Surgery·P BoileauR Sinnerton
Dec 18, 2001·Journal of Shoulder and Elbow Surgery·J Sanchez-SoteloC M Rowland
Oct 16, 2002·Journal of Shoulder and Elbow Surgery·Udai PrakashJohn A Dent
Mar 13, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R PaduaA Campi
Oct 1, 2005·Journal of Shoulder and Elbow Surgery·Ashwin V DeshmukhThomas S Thornhill

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Citations

Apr 23, 2009·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·V CalvisiS Lupparelli
Nov 28, 2008·Injury·George KontakisPanagiotis Megas
Aug 10, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·F SirveauxD Molé
Jun 22, 2011·Clinical Orthopaedics and Related Research·Andrew S NeviaserDean G Lorich

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