Background: Kihon Checklist is a self-reported comprehensive health checklist used as a screening tool to identify frailty. The Kihon Checklist is a 25-item questionnaire including seven categories: daily life, physical ability, nutrition, oral condition, the extent to which one is housebound, cognitive status, and depression risk. We aimed to clarify the consistency in assessments of three important categories: physical strength, nutritional status, and cognitive function of Kihon Checklist using assessments of actual physical, nutritional, and cognitive statuses.

The E-PASS scoring system showed some utility in predicting post-operative morbidity after general orthopaedic surgery. However, creating a new risk score that is more suitable for orthopaedic surgery will be challenging.

＊ 熊本大学大学院生命科学研究部運動骨格病態学 De p a r t me n to fOr t h o p a e d i ca n dNe u r o -Mu s c u l o s k e l e t a l S u r g e r y , F a c u l t y o fL i f eS c i e n c e s , Ku ma mo t oUn i v e r s i t y , Ku ma mo t o , J a p a n 整 形 外 科 と 災 害 外 科 5 9 5 1 0 ～5 1 4 ,2 0 1 0 .S u r g i c a l l yTr e a t e dC a s ewi t hC h r o n i cP o s t e r i o r F r a c t u r e -Di s l o c a t i o no ft h eS h o u l d e rTa k e h i r oNa g a t a ＊ , J u n j i I d e ＊ , Ke n s h i Ki k u k a wa ＊ , a n dHi r o s h i Mi z u t a ＊ P o s t e r i o rd i s l o c a t i o n o ft h es h o u l d e ri sr a r ea n dmi s s e ds o me t i me s .Wer e p o r tas u r g i c a l l y t r e a t e dc a s ewi t hc h r o n i cp o s t e r i o rf r a c t u r e -d i s l o c a t i o no ft h es h o u l d e r . A 6 4 -y e a r s -o l dwo ma nf e l l d o wno nh e rr i g h t h a n da n dwa sd i a g n o s e dwi t hr i g h t p r o x i ma l h u me r a l f r a c t u r e . He rr i g h t s h o u l d e r wa si mmo b i l i z e du s i n gas l i n gf o rf o u rwe e k s , a f t e rwh i c hs h es t a r t e dr e h a b i l i t a t i o n .Bu ts h ewa s u n a b l et oe l e v a t eh e rs h o u l d e ra tf o u rmo n t h sa f t e rt h ei n j u r y . S h eu n d e r we n tMRIa n dwa sd i a gn o s e d wi t h c h r o n i cp o s t e r i o rf r a c t u r e -d i s l o c a t i o n o ft h es h o u l d e r .P h y s i c a le x a mi n a t i o n a to u r h o s p i t a l s h o we do s s e o u sp r o mi n e n c ei nt h er i g h ts h o u l d e rwi t hr e s t r i c t e dr a n g eo fmo t i o no fr i g h t s h o u l d e r ; f l e x i o n wa s5°, e x t e r n a lr o t a t i o n-4 0°, a n di n t e r n a lr o t a t i o nwa sn o tp o s s i b l e . He rJ OA s c o r ewa s2 6p o i n t s . Ra d i o g r a p h sa n dCTs h o we dp o s t e r i o rd i s l o c a t i o no f t h es h o u l d e rwi t hma l u n i o n o f t h et u b e r o s i t yf r a c t u r e . S i n c es h eh a dp a i na n dADLd i s o r d e r , s u r g i c a l r e d u c t i o nwa sp e r f o r me da t f i v emo n t h sa f t e ri n j u r y . Us i n gt h ed e l t o p e c t o r a l a p p r o a c h , wep e r f o r me do s t e o t o myo f t h ema l u n i t e d t u b e r o s i t i e s ,r e s e c t e d s o f tt i s s u e s ,a n d r e d u c e d t h eh u me r a lh e a d t ot h eg l e n o i d .Wef i x e d t h e t u b e r o s i t i e swi t hs c r e wsa n ds h i f t e dt h ep o s t e r i o rc a p s u l es u p e r i o r l yu s i n gas u t u r ea n c h o r . Af t e r s u r g e r y , h e rr i g h ts h o u l d e rwa si mmo b i l i z e di nas h o u l d e rb r a c ef o rs i xwe e k s . Atf i v emo n t h sa f t e r s u r g e r y , s h eh a dn op a i na n dt h er a n g eo fmo t i o no fh e rr i g h ts h o u l d e rh a di mp r o v e d ; f l e x i o n wa s 1 5 0°( p a s s i v e ) , e x t e r n a l r o t a t i o n3 0°, i n t e r n a l r o t a t i o nL 5r e b e l . He rJ OA s c o r ewa s8 3p o i n t s .

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