基本信息来源于合作网站,原文需代理用户跳转至来源网站获取       
摘要:
Objective: In the constantly growing population of people beyond the age of 60 years, the incidence of complex comminuted humeral head fractures increases, thus increasing the need for prosthetic replacement. The purpose of this study was to determine the long-term results after primary hemiarthroplasty in patients older than 60 years. Methods: From 08/2010 to 12/2015 a prospective study of 54 patients (mean age 75 years) with complex humeral head fracture was performed at the University Hospital Rostock. 24 patients were available for follow-up after 5 - 10 years. Pain, the Karnofsky-index, and the range of motion were obtained as well as radiographs in two planes. The Constant-Murley score and the UCLA rating system were evaluated for functional assessment. Results: 15 patients were painfree. The Karnofsky index deteriorated from 94 preoperatively to 70. The Constant-Murley score of the operated extremity reached 47 points out of possible 100, the uninjured side scored 82 points. The age-specific Constant-Murley score showed more favorable results. The UCLA rating system values leveled up to 22 out of 35 points for the replaced shoulder and 33 points for the other arm. Radiologically, more than 50% of the implants were classified as non-centered and the acromio-humeral space diminished significantly. Conclusions: Primary hemiarthroplasty helps to restore a situation of little or no pain whereas functional and radiological outcome remains limited. Revision surgery or conversion to reverse shoulder arthroplasty was not indicated in any case supporting the clinical value of hemiarthroplasty.
推荐文章
The use of in-situ cosmogenic 21Ne in studies on long-term landscape development
Cosmogenic nuclides
21Ne
Long timescale
Landscape evolution
Using Geomechanical Method to Predict Tectonic Fractures in Low-Permeability Sandstone Reservoirs
Low-permeability sandstone reservoir
Fracture parameters
Geomechanical method
Twitter的Follow关系和Retweet关系对比
在线社交网络
网络数据分类
同质性
推特网
内容分析
关键词云
关键词热度
相关文献总数  
(/次)
(/年)
文献信息
篇名 Long-Term Clinical and Radiological Outcome in Primary Hemiarthroplasty for Comminuted Humeral Head Fractures in the Elderly: A 5 - 10 Years Follow-Up Prospective Study
来源期刊 矫形学期刊(英文) 学科 医学
关键词 PRIMARY HEMIARTHROPLASTY Proximal HUMERAL Fracture Prospective Study Functional OUTCOME
年,卷(期) 2019,(8) 所属期刊栏目
研究方向 页码范围 165-179
页数 15页 分类号 R73
字数 语种
DOI
五维指标
传播情况
(/次)
(/年)
引文网络
引文网络
二级参考文献  (0)
共引文献  (0)
参考文献  (0)
节点文献
引证文献  (0)
同被引文献  (0)
二级引证文献  (0)
2019(0)
  • 参考文献(0)
  • 二级参考文献(0)
  • 引证文献(0)
  • 二级引证文献(0)
研究主题发展历程
节点文献
PRIMARY
HEMIARTHROPLASTY
Proximal
HUMERAL
Fracture
Prospective
Study
Functional
OUTCOME
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
矫形学期刊(英文)
月刊
2164-3008
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
366
总下载数(次)
0
论文1v1指导