Open Reduction and Internal Fixation Versus Hemiarthroplasty in the Management of Complex Articular Fractures and Fracture-dislocations of the Proximal Humerus:

Journal of Shoulder and Elbow Arthroplasty

RobertThorsness¹ 

关键词: Open reduction;    internal fixation;    hemiarthroplasty;    proximal humerus fractures;    complex articular humeral head fractures;    injury;    nonunion;   

DOI  :  10.1177/2471549217709364

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

BackgroundThis study compares open reduction and internal fixation (ORIF) versus hemiarthroplasty (HA) in the management of proximal humerus fracture-dislocations and complex articular humeral head fractures.MethodsThe records of consecutive patients with Neer 3- and 4-part fracture-dislocations, surgical neck fracture-dislocations with severe articular impaction, and any head-split fracture treated surgically at our institution were studied retrospectively. Constant–Murley scores, Disability of the Arm, Shoulder and Hand (DASH), American Shoulder and Elbow Surgeons Shoulder (ASES), and Short Form Health Survey (SF-36) scores were obtained and compared between ORIF versus HA treatment.ResultsThirty patients were included in the analysis: 15 treated with ORIF were compared to 15 treated with HA with an average follow-up of 60 months. The mean Constant score (72 ± 15 vs 54 ± 19; P = .007), DASH score (13 ± 17 vs 29 ± 18; P = .006), ASES score (87 ± 13 vs 66 ± 22; P = .003), and SF-36 physical composite scor...

【 授权许可】

CC BY