Timing of shoulder arthroplasty in comminuted proximal humerus fracture, how much does it matter?

Abdelhady, Amr

doi:10.1007/s00590-012-1025-9

Cited by 8 publications

(3 citation statements)

References 17 publications

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“…Our finding that early surgery is beneficial for the results is in concordance with several studies of “time to surgery” with less number of shoulders to analyze compared to our study [ 9 , 11 , 22 – 26 ].…”

Section: Discussionsupporting

confidence: 93%

Timing of Surgery for Proximal Humeral Fracture Treated with Shoulder Hemiarthroplasty, Best Results with Surgery Within 2 Weeks

Demir,

Vuorinen,

Gordon

et al. 2024

JOIO

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Background Preoperative delay may affect the outcome of proximal humerus fractures treated with shoulder hemiarthroplasty. There is currently no consensus for the recommended preoperative time interval. The aim was to examine how the time to surgery with shoulder hemiarthroplasty after a proximal humerus fracture affected the patient-reported outcome. Methods 380 patients with proximal humerus fractures treated with shoulder hemiarthroplasty recorded from the Swedish Shoulder Arthroplasty Registry were included. Three self-reporting outcome instruments were used at follow-up after 1–5 years: a shoulder-specific score, the Western Ontario Osteoarthritis of the Shoulder index (WOOS), the EuroQol-5 Dimension index (EQ-5D), and subjective patient satisfaction assessment. Results The preoperative delay had a negative impact on the WOOS, EQ-5D, and patient satisfaction level (p < 0.01). The best result, measured with WOOS at a minimum 1-year follow-up, was found when surgery was performed 6–10 days after the reported date of fracture. WOOS% 8–14 days was 69.4% (± 24.2). A delay of more than 10 days was shown to be correlated with poorer outcomes. WOOS% 15–60 days was 55.8% (± 25.0) and continued to decrease. Conclusion The current recommendation in Sweden to perform shoulder hemiarthroplasty within 2 weeks after sustaining a proximal humerus fracture is considered valid.

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Section: Discussionsupporting

confidence: 93%

Timing of Surgery for Proximal Humeral Fracture Treated with Shoulder Hemiarthroplasty, Best Results with Surgery Within 2 Weeks

Demir,

Vuorinen,

Gordon

et al. 2024

JOIO

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show abstract

“…Our ndings that early surgery is bene cial for the results is in concordance with several studies (5,7,(19)(20)(21)(22)(23). Since these studies had a limited number of patients it is di cult to assess the association of "time to surgery".…”

Section: Discussionsupporting

confidence: 91%

Timing of surgery for proximal humeral fracture treated with shoulder hemiarthroplasty, best results with surgery within 2 weeks

Demir

Vuorinen

Gordon

et al. 2022

Preprint

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Background Preoperative delay may affect the outcome of proximal humerus fractures treated with shoulder hemiarthroplasty. There is currently no consensus for the recommended preoperative time interval. The aim was to examine how the time to surgery with shoulder hemiarthroplasty after a proximal humerus fracture affected patient-reported outcome. Methods 380 patients with proximal humerus fractures treated with shoulder hemiarthroplasty recorded from the Swedish Shoulder Arthroplasty Registry were included. Three self-reporting outcome instruments were used at follow-up after 1-5 years: a shoulder specific score, the Western Ontario Osteoarthritis of the Shoulder index (WOOS), the EuroQol health status component (EQ-5D-index) and subjective patient satisfaction assessment. Results Preoperative delay had a negative impact on the WOOS, EQ-5D and patient satisfaction scores (p < 0.01). The best result, measured with WOOS at minimum 1-year follow-up, was found when surgery was performed 6-10 days after the reported date of fracture. A delay of more than 10 days was shown be correlated with poorer outcomes. Conclusions The current recommendation in Sweden to perform shoulder hemiarthroplasty within two weeks after sustaining a proximal humerus fracture is considered valid.

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“…Abdelhady found that a one-week or two-week delay in timing of surgery [15], which was considered a negligible period, also has an impact on the final result. This delay mainly affects ROM and power to a lesser extent, and both are reflected in the total score.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Functional Outcome Between Early and Delayed Internal Fixation Using Volar Locking Plate for Distal Radius Fractures

Yamashita

Zenke

Sakai

et al. 2015

J UOEH

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: The purpose of this study was to assess the effect of timing (Early (E) group vs Delayed (D) group) of internal fixation for distal radius fractures on forearm and wrist function in patients who underwent the surgery. The subjects were one hundred six patients who had extra-articular fractures of the dorsally displaced distal radius and were treated with a volar locking plate. The subjects were divided into two groups: E group (Operation on the day of injury or the next day, n = 76 ; and the D group (Operation at 7 days after injury or later, n = 30). Follow-up examinations conducted at 4, 12, and 48 weeks after surgery included measurements of wrist and forearm ranges of motion (ROM), measurement of grip strength (GS), Disability of the Arm, Shoulder and Hand score (DASH), and complications, retrospectively. The patients in both groups improved significantly with respect to ROM, GS, and DASH. At 4 weeks, the patients in the E group had better forearm motion, At 4 and 12 weeks, those who had undergone early surgery had significantly better wrist motion, GS and DASH. At 48 weeks, there were no differences between the groups in ROM, GS, or DASH. Patients with dorsally displaced extra-articular fractures of the distal radius can expect to have better short-term outcomes with early treatment, open reduction and internal fixation using a volar locking plates.

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Timing of shoulder arthroplasty in comminuted proximal humerus fracture, how much does it matter?

Cited by 8 publications

References 17 publications

Timing of Surgery for Proximal Humeral Fracture Treated with Shoulder Hemiarthroplasty, Best Results with Surgery Within 2 Weeks

Timing of Surgery for Proximal Humeral Fracture Treated with Shoulder Hemiarthroplasty, Best Results with Surgery Within 2 Weeks

Timing of surgery for proximal humeral fracture treated with shoulder hemiarthroplasty, best results with surgery within 2 weeks

Comparison of Functional Outcome Between Early and Delayed Internal Fixation Using Volar Locking Plate for Distal Radius Fractures

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