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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Gupta, Anil K. Harris, Joshua D. Erickson, Brandon J. Abrams, Geoffrey D. Bruce, Benjamin McCormick, Frank Nicholson, Gregory P. Romeo, Anthony A. |
| Description | Country affiliation: Israel Author Affiliation: Gupta AK ( Division of Sports Medicine, Shoulder and Elbow Surgery, Midwest Orthopaedics at Rush, Chicago, IL.) |
| Abstract | OBJECTIVES: To compare the outcomes of open reduction and internal fixation (ORIF), closed reduction and percutaneous pinning, hemiarthroplasty (HA), and reverse shoulder arthroplasty (RSA) for proximal humerus fractures. DATA SOURCES: The search was performed on September 9, 2012 using an explicit search algorithm in the following databases: Medline, SportDiscus, CINAHL, and Cochrane Central Register of Controlled Trials. Inclusion criteria were English language studies reporting clinical outcomes after surgical treatment of 3- or 4-part proximal humerus fractures with a minimum of 1-year follow-up. STUDY SELECTION: English language studies reporting clinical outcomes after surgical treatment of 3- or 4-part proximal humerus fractures with a minimum of 1-year follow-up. Levels 1-4 studies were eligible for inclusion. DATA EXTRACTION: Study methodological quality and bias was evaluated using the Modified Coleman Methodology Score. DATA SYNTHESIS: Two-proportion Z test and multivariate linear regression analyses were used for group comparisons. CONCLUSIONS: Significantly better clinical outcomes were observed for ORIF over HA and RSA (American Shoulder and Elbow Score, Disabilities of Arm, Shoulder, and Hand, Constant) (P < 0.05). However, ORIF had a significantly higher reoperation rate versus HA and RSA (P < 0.001 for both). Comparing HA with RSA, there was no difference in any outcome measure. The rate of tuberosity nonunion was 15.4% in the HA group. There were more complications following closed reduction and percutaneous pinning versus ORIF, HA, and RSA (P < 0.05). ORIF for proximal humerus fractures demonstrates better clinical outcome scores but with a significantly higher reoperation rate. HA and RSA are effective as well, but tuberosity nonunion remains a concern with HA. |
| File Format | HTM / HTML |
| ISSN | 08905339 |
| Issue Number | 1 |
| Journal | Journal of Orthopaedic Trauma |
| Volume Number | 29 |
| e-ISSN | 15312291 |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2015-01-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Discipline Sports Medicine Shoulder Fractures Surgery Arthroplasty, Replacement Fracture Fixation Hemiarthroplasty Humans Comparative Study Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery Sports Science |
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