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Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus
| Content Provider | MDPI |
|---|---|
| Author | Heilmann, Lukas F. Katthagen, J. Christoph Raschke, Michael J. Schliemann, Benedikt Lill, Helmut Bajjati, Hassan El Jensen, Gunnar Hazra, Rony-Orijit Dey |
| Copyright Year | 2021 |
| Description | Background: The aim of this study was to evaluate the clinical outcome after humeral head preserving surgical treatment of posterior fracture dislocations of the proximal humerus. Methods: Patients with a posterior fracture dislocation of the proximal humerus that were operatively treated in two level-1 trauma centers within a timeframe of 8 years were identified. With a minimum follow-up of 2 years, patients with humeral head preserving surgical treatment were invited for examination. Results: 19/24 fractures (79.2%; mean age 43 years) were examined with a mean follow-up of 4.1 ± 2.1 years. Of these, 12 fractures were categorized as posteriorly dislocated impression type fractures, and 7 fractures as posteriorly dislocated surgical neck fractures. Most impression type fractures were treated by open reduction, allo- or autograft impaction and screw fixation (n = 11), while most surgical neck fractures were treated with locked plating (n = 6). Patients with impression type fractures showed significantly better ASES scores (p = 0.041), Simple Shoulder Test scores (p = 0.003), Rowe scores (p = 0.013) and WOSI scores (p = 0.023), when compared to posteriorly dislocated surgical neck fractures. Range of motion was good to excellent for both groups with no significant difference. Conclusions: This mid-term follow-up study reports good to very good clinical results for humeral head preserving treatment. |
| Starting Page | 3841 |
| e-ISSN | 20770383 |
| DOI | 10.3390/jcm10173841 |
| Journal | Journal of clinical medicine |
| Issue Number | 17 |
| Volume Number | 10 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-08-27 |
| Access Restriction | Open |
| Subject Keyword | Journal of clinical medicine Journal of Clinical Medicine Orthopedics Proximal Humerus Fracture Posterior Shoulder Dislocation Humeral Head Preserving Therapy Surgical Neck Fractures |
| Content Type | Text |
| Resource Type | Article |
