Current strategies for the treatment of proximal humeral fractures: an analysis of a survey carried out at 348 hospitals in Germany, Austria, and Switzerland

Tepass, Alexander; Blumenstock, Gunnar; Weise, K.; Rolauffs, Bernd; Bahrs, Christian

doi:10.1016/j.jse.2012.04.002

Cited by 64 publications

(39 citation statements)

References 47 publications

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“…3 In some countries, the rate of surgical stabilization of proximal humeral fractures has increased within the last years. 4,16,26 A great variety of techniques and implants were documented. Angular stable plates were introduced at the beginning of 2000.…”

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confidence: 99%

Which parameters affect medium- to long-term results after angular stable plate fixation for proximal humeral fractures?

Bahrs

Kühle

Blumenstock

et al. 2015

Journal of Shoulder and Elbow Surgery

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mentioning

confidence: 99%

Which parameters affect medium- to long-term results after angular stable plate fixation for proximal humeral fractures?

Bahrs

Kühle

Blumenstock

et al. 2015

Journal of Shoulder and Elbow Surgery

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“…Third, since the objective of this study was to compare the outcomes of nonoperative treatment with those of operative treatment, this study did not distinguish between surgical techniques, such as open reduction and internal fixation and hemiarthroplasty; it, however, is a reflection of general clinical practice, where the type of surgical procedure is based on the clinical judgment of the surgeon. Additionally, locking plates, intramedullary nails and hemiarthroplasty are the most commonly used surgical techniques in current practice [8,44].…”

Section: Discussionmentioning

confidence: 99%

Traumatic diaphragmatic rupture in pediatric age: review of the literature

Marzona

Parri

Nocerino

et al. 2016

Eur J Trauma Emerg Surg

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Purpose Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for elderly patients. The aim of this retrospective cohort study was to evaluate health-related quality of life (HRQoL), functional outcome, pain and social participation in elderly patients, after operative and nonoperative treatment of displaced 3-and 4-part proximal humeral fractures. Methods 150 patients aged ≥ 65, treated for a displaced 3-or 4-part proximal humeral fracture between 2004 and 2014, were invited to participate. Eventually 91 patients (61%) participated, of which 32 non-operatively treated patients were matched to 32 of the 59 operatively treated patients by propensity score matching. The EQ-5D, DASH, VAS for pain and WHODAS 2.0 Participation in Society domain were administered. Complications and reinterventions were registered. Results No significant difference was found between the two treatment groups in HRQoL (p = 0.43), function (p = 0.78) and pain (p = 0.19). A trend toward better social participation in the operative group (p = 0.09) was found. More complications and reinterventions occurred in the operative group than the nonoperative group, with 9 versus 5 complications (p = 0.37) and 8 versus 2 reinterventions (p = 0.08). Conclusions In this study, we found no evidence of a difference in HRQoL, functional outcome or pain 1-10 years after operative or nonoperative treatment in patients of 65 and older with a displaced 3-or 4-part humeral fracture. Operatively treated patients showed a trend toward better social participation but also higher reintervention rates.

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“…2 Há diversas opç ões de tratamento cirúrgico. 11 A redução aberta e a fixação com placa de ângulo fixo é uma opção bem difundida na literatura. 12 Entretanto, a redução indireta e a fixação com haste intramedular metafisária bloqueada (HIMB) gradualmente ganha espaço no arsenal terapêutico.…”

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Tratamento das fraturas em duas partes do colo cirúrgico do úmero com o uso de haste intramedular metafisária bloqueada proximalmente com estabilidade angular

Viecili¹,

Turco²,

Ramalho³

et al. 2015

Revista Brasileira de Ortopedia

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r e v b r a s o r t o p . 2 0 1 5;5 0(1):22-29 w w w . r b o . o r g . b r Artigo Original Tratamento das fraturas em duas partes do colo cirúrgico do úmero com o uso de haste intramedular metafisária bloqueada proximalmente com estabilidade angular ଝ informações sobre o artigo Histórico do artigo: Recebido em 30 de novembro de 2013 Aceito em 13 de fevereiro de 2014 On-line em 1 de agosto de 2014 Palavras-chave: Fratura do úmero Fixação intramedular de fraturas Procedimentos cirúrgicos r e s u m o Objetivos: Avaliar os resultados funcionais de pacientes com fraturas do colo cirúrgico tratados com haste intramedular metafisária bloqueada (HIMB) e estabilidade angular. Métodos: Foram analisados 22 pacientes prospectivos entre 21 e 69 anos, avaliados entre janeiro de 2010 e janeiro de 2011, e correlacionados tempo de consolidação, idade, sexo, complicaç ões e resultado funcional com o protocolo da University of California at Los Angeles (UCLA) modificado.Resultados: O tempo de consolidação médio foi de 9,26 ± intervalo de confiança (IC) de 0,40 semana. Um caso (4,5%) não se consolidou. Não houve infecção. Houve um caso (4,5%) de capsulite adesiva com boa evolução ao tratamento clínico. Cinco pacientes (22,7%) apresentaram leve dor eventual e um caso (4,5%) referiu dor de média intensidade associada a impacto subacromial do implante. O escore médio UCLA modificado foi 30,4 ± IC 1,6 ponto obtidos no fim de 12 meses de avaliação, 18 casos (81,8%) com escore «excelente» e «bom», três casos (13,6%) com escore «razoável» e um caso (4,5%) com escore «ruim».Conclusão: No grupo de pacientes avaliados, o tratamento das fraturas em duas partes do colo cirúrgico com HIMB e a estabilidade angular demonstraram resultados funcionais satisfatórios e baixo índice de complicaç ões, semelhantes aos encontrados na literatura.

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Current strategies for the treatment of proximal humeral fractures: an analysis of a survey carried out at 348 hospitals in Germany, Austria, and Switzerland

Cited by 64 publications

References 47 publications

Which parameters affect medium- to long-term results after angular stable plate fixation for proximal humeral fractures?

Which parameters affect medium- to long-term results after angular stable plate fixation for proximal humeral fractures?

Traumatic diaphragmatic rupture in pediatric age: review of the literature

Tratamento das fraturas em duas partes do colo cirúrgico do úmero com o uso de haste intramedular metafisária bloqueada proximalmente com estabilidade angular

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