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Can I read Acute Surgical Management of Proximal Humerus Fractures: ORIF vs Hemiarthroplasty vs Reverse Shoulder Arthroplasty on EtoBox?
Acute Surgical Management of Proximal Humerus Fractures: ORIF vs Hemiarthroplasty vs Reverse Shoulder Arthroplasty by Yahuaca, B. Israel; Patel, Shaan; Christmas, Kaitlyn N.; Simon, Peter; Mighell, Mark A.; Frankle, Mark A. is a Medicine article available to read on EtoBox.
What is Acute Surgical Management of Proximal Humerus Fractures: ORIF vs Hemiarthroplasty vs Reverse Shoulder Arthroplasty about?
Background: Treatment of proximal humerus fractures (PHFs) via reverse total shoulder arthroplasty (RTSA) has shown early promise when compared to historical treatment modalities. Ideal surgical timing remains unclear. The purpose of this study was to compare the outcomes of early versus delayed RTSA for PHF. We hypothesized that acute RTSA would display superior outcomes compared to those receiving delayed surgical intervention. Methods: This multicenter study retrospectively analyzed 142 patients who underwent RTSA for fracture. Patients treated within 4 weeks of injury were placed in the acute group (n1⁄4102), and patients treated longer than 4 weeks after injury were placed in the chronic group (n1⁄438). A comprehensive panel of patient reported outcome measures, VAS pain scores, range of motion, and patient satisfaction were evaluated. Results: The acute group had significantly better final follow-up SPADI scores (20.8 6 23.9 vs. 30.7 6 31.7) (p<0.05). The acute group demonstrated higher passive external rotation compared to the chronic group (47.8 6 16.5 vs. 40.4 6 16.1) (p<0.05). No further differences were detected in other postoperative range of motion measurements, subjec
Who reads Acute Surgical Management of Proximal Humerus Fractures: ORIF vs Hemiarthroplasty vs Reverse Shoulder Arthroplasty?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Yahuaca, B. Israel; Patel, Shaan; Christmas, Kaitlyn N.; Simon, Peter; Mighell, Mark A.; Frankle, Mark A.
- Publisher
- Elsevier Science; Elsevier ; Mosby Inc.; Elsevier BV (ISSN 1532-6500)
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)