Fraturas da extremidade proximal do úmero: estudo comparativo entre dois métodos de fixação

ObjectiveTo evaluate patients diagnosed with posterior four-part fracture-dislocations of the proximal humerus, that were surgically treated with osteosynthesis, regarding their clinical and functional outcomes.MethodsA prospective observational study of eight patients from the same hospital institution in the interior of São Paulo State (Brazil), through individual interviews using the UCLA, DASH, and Constant international scores. The active movements included in the scores plus the range of motion of the affected and non-affected limb were measured. The affected shoulder's radiographs were requested to verify bone conditions and the fixation of the osteosynthesis.ResultsThe rating of eight patients by the international scores indicated that seven of the eight patients presented good clinical and functional evolution of the affected limb; this represents 87.5% of the evaluated individuals.ConclusionSurgical treatment with osteosynthesis performed during the acute period (

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“… 20 Different osteosynthesis methods provide different degrees of stability, but show similar functional clinical results. 21 …”

Section: Discussionmentioning

confidence: 99%

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Oliveira

Graça

Fanelli

2018

Revista Brasileira de Ortopedia (English Edition)

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“…Surgical treatment is indicated for unstable fractures with rotational deformity that are difficult to reduce and maintain. 2 4 Among the most common procedures, fixation with plates and screws, percutaneous fixation with wires, tension band, external fixation, fixed-angle plates, blocked plates and arthroplasty stand out. Arthroplasty is usually performed on patients with extensive involvement are the articulating cartilage, in case of avascular necrosis or in elderly patients with complex fractures that are difficult to fixate, due to osteoporosis.…”

Section: Introductionmentioning

confidence: 99%

“…Arthroplasty is usually performed on patients with extensive involvement are the articulating cartilage, in case of avascular necrosis or in elderly patients with complex fractures that are difficult to fixate, due to osteoporosis. 4 12 13…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Profile of Patients With Proximal Humerus Fracture Treated at Hospital São Paulo, Brazil

2015

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Objective: To analyze the epidemiological aspects of proximal humerus fractures and describe the profile of patients with proximal humerus fractures hospitalized and treated at Hospital São Paulo, between 2008 and 2013. Methods: Hospital records were retrospectively analyzed for surgically treated patients diagnosed with proximal humerus fracture. Age, gender, injury mechanism, length of hospital stay, performed treatment and associated diseases were considered. Results: From all patients studied, 52 were female at their sixth decade of life. As for the injury mechanism, fall from height was the main cause for women (88.46%) and for man it was motorcycle accidents (31.42%). Fixation with locked plate was the most frequently used treatment. Conclusion: Most patients were female in their fifth decade of life, injured mainly by fall from height. Fixation with locked plate was the most frequently used treatment and the patients were admitted for 7 days, on average. Level of Evidence II, Retrospective Study.

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Fraturas‐luxações posteriores do úmero proximal em quatro partes: avaliação clínico‐funcional do tratamento por osteossíntese

Oliveira

Graça

Fanelli³

2018

Revista Brasileira de Ortopedia

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Fraturas da extremidade proximal do úmero: estudo comparativo entre dois métodos de fixação

Cited by 8 publications

References 33 publications

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Posterior four-part fracture-dislocations of the proximal humerus: clinical and functional evaluation of osteosynthesis treatment

Epidemiological Profile of Patients With Proximal Humerus Fracture Treated at Hospital São Paulo, Brazil

Fraturas‐luxações posteriores do úmero proximal em quatro partes: avaliação clínico‐funcional do tratamento por osteossíntese

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