Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study
Purpose Verify if the use of locking plates in displaced three- and four-part proximal humerus fractures has meant an improvement even in patients over 70 years of age. Material and methods We performed surgery with locking plate fixation in 56 consecutive patients with three- and four-part proximal...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2024-01, Vol.34 (1), p.415-423 |
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| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 34 |
| creator | Descalzo Godoy, Ignacio Velasco Alcalde, Paula Del Olmo Galeano, Alberto Del Río Hortelano, Julián Martínez Velez, David Fernández González, Julián |
| description | Purpose
Verify if the use of locking plates in displaced three- and four-part proximal humerus fractures has meant an improvement even in patients over 70 years of age.
Material and methods
We performed surgery with locking plate fixation in 56 consecutive patients with three- and four-part proximal humerus fractures according to Neer's classification between 1/1/15 and 12/31/20 at our Hospital. Patient satisfaction, quality of life, functionality and radiological variables, as well as the comparison between patients older and younger than 70 years were the main outcomes. Likewise, factors and complications that may have influenced these variables were analyzed as secondary outcomes. The analysis of all these variables was performed after a minimum follow-up time of 24 months after surgery.
Results
51 patients (92%) ended up satisfied or very satisfied according to the SF-36 test and with no disability or mild disability according to the DASH Score questionnaire. 46 patients (82%) obtained a satisfactory or excellent result according to the Neer scale modified by Cofield and 38 (68%) a good or excellent function according to the Constant Murley questionnaire. In 47 cases (84%) good radiological alignment was observed. Complications occurred in 20 patients (36%). The complications and the results of the SF-36, DASH Score, Neer scale modified by Cofield and Constant Murley tests depended on the radiological alignment (
p
= 0.009,
p
= 0.006,
p
= 0.025,
p
= 0.0008 and
p
= 0.0004). There were 37 patients younger than 70 years and 19 older than 70 years with no statistically significant differences when comparing the two groups.
Conclusions
This study demonstrates that satisfactory results can be obtained with osteosynthesis with locking plates in displaced proximal humerus fractures even in patients older than 70 years of age.
Level of evidence III
Retrospective Cohort, Treatment Study. |
| doi_str_mv | 10.1007/s00590-023-03675-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2850311722</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2850311722</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-4d134c6e7fbae0c04507a5bf4c12683a0cb964962e224bec9801176cfc26d4e83</originalsourceid><addsrcrecordid>eNp9UUmO1TAQjRCIbhouwAJZYsOCgO04TsKu1WKSWkJIsI4cp_y_m8QOHhpyG87CRbgK9X-aQSxY2a56g6teUTxk9BmjtHkeKa07WlJelbSSTV2ut4pTJipeMirb23_dT4p7MV5RyuqO1XeLk6qppWSCnhY_3mc12bQSb8hkDTwlJjudrHdqIsqNJKjR-snvrMaCz0n7GeIBnQKoNINLx8c-AJSLCulIMj6H7bUE_9XOSN3nGUKOxASlUw6o8cWmPZm8_mTdjiyTSlg7kNEBqTZ6R6wjq8_YvoYQkeynEQKaKUca-v3bCirEF0SRACn4uAB-_BpQYO_ROqY8rveLO0ZNER7cnGfFx1cvP1y8KS_fvX57cX5Z6orLVIqRVUJLaMyggGoqatqoejBCMy7bSlE9dFJ0kgPnYgDdtZSxRmqjuRwFtNVZ8WTTxYE_Z4ipn23UME3Kgc-x521NK6RwjtDH_0CvcF24b0R1jDH05gJRfENpnCwGMP0ScJFh7RntD_H3W_w9xt8f4-9XJD26kc7DDONvyq-8EVBtgIgtt4Pwx_s_sj8BrC_B2w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2911145024</pqid></control><display><type>article</type><title>Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Descalzo Godoy, Ignacio ; Velasco Alcalde, Paula ; Del Olmo Galeano, Alberto ; Del Río Hortelano, Julián ; Martínez Velez, David ; Fernández González, Julián</creator><creatorcontrib>Descalzo Godoy, Ignacio ; Velasco Alcalde, Paula ; Del Olmo Galeano, Alberto ; Del Río Hortelano, Julián ; Martínez Velez, David ; Fernández González, Julián</creatorcontrib><description>Purpose
Verify if the use of locking plates in displaced three- and four-part proximal humerus fractures has meant an improvement even in patients over 70 years of age.
Material and methods
We performed surgery with locking plate fixation in 56 consecutive patients with three- and four-part proximal humerus fractures according to Neer's classification between 1/1/15 and 12/31/20 at our Hospital. Patient satisfaction, quality of life, functionality and radiological variables, as well as the comparison between patients older and younger than 70 years were the main outcomes. Likewise, factors and complications that may have influenced these variables were analyzed as secondary outcomes. The analysis of all these variables was performed after a minimum follow-up time of 24 months after surgery.
Results
51 patients (92%) ended up satisfied or very satisfied according to the SF-36 test and with no disability or mild disability according to the DASH Score questionnaire. 46 patients (82%) obtained a satisfactory or excellent result according to the Neer scale modified by Cofield and 38 (68%) a good or excellent function according to the Constant Murley questionnaire. In 47 cases (84%) good radiological alignment was observed. Complications occurred in 20 patients (36%). The complications and the results of the SF-36, DASH Score, Neer scale modified by Cofield and Constant Murley tests depended on the radiological alignment (
p
= 0.009,
p
= 0.006,
p
= 0.025,
p
= 0.0008 and
p
= 0.0004). There were 37 patients younger than 70 years and 19 older than 70 years with no statistically significant differences when comparing the two groups.
Conclusions
This study demonstrates that satisfactory results can be obtained with osteosynthesis with locking plates in displaced proximal humerus fractures even in patients older than 70 years of age.
Level of evidence III
Retrospective Cohort, Treatment Study.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-023-03675-y</identifier><identifier>PMID: 37566140</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aged ; Aged, 80 and over ; Bone Plates ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Humans ; Humeral Fractures ; Humerus ; Medicine ; Medicine & Public Health ; Original Article ; Patient satisfaction ; Quality of Life ; Questionnaires ; Retrospective Studies ; Shoulder Fractures - diagnostic imaging ; Shoulder Fractures - surgery ; Surgical Orthopedics ; Traumatic Surgery ; Treatment Outcome</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2024-01, Vol.34 (1), p.415-423</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-4d134c6e7fbae0c04507a5bf4c12683a0cb964962e224bec9801176cfc26d4e83</cites><orcidid>0000-0001-7975-665X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-023-03675-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-023-03675-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37566140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Descalzo Godoy, Ignacio</creatorcontrib><creatorcontrib>Velasco Alcalde, Paula</creatorcontrib><creatorcontrib>Del Olmo Galeano, Alberto</creatorcontrib><creatorcontrib>Del Río Hortelano, Julián</creatorcontrib><creatorcontrib>Martínez Velez, David</creatorcontrib><creatorcontrib>Fernández González, Julián</creatorcontrib><title>Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
Verify if the use of locking plates in displaced three- and four-part proximal humerus fractures has meant an improvement even in patients over 70 years of age.
Material and methods
We performed surgery with locking plate fixation in 56 consecutive patients with three- and four-part proximal humerus fractures according to Neer's classification between 1/1/15 and 12/31/20 at our Hospital. Patient satisfaction, quality of life, functionality and radiological variables, as well as the comparison between patients older and younger than 70 years were the main outcomes. Likewise, factors and complications that may have influenced these variables were analyzed as secondary outcomes. The analysis of all these variables was performed after a minimum follow-up time of 24 months after surgery.
Results
51 patients (92%) ended up satisfied or very satisfied according to the SF-36 test and with no disability or mild disability according to the DASH Score questionnaire. 46 patients (82%) obtained a satisfactory or excellent result according to the Neer scale modified by Cofield and 38 (68%) a good or excellent function according to the Constant Murley questionnaire. In 47 cases (84%) good radiological alignment was observed. Complications occurred in 20 patients (36%). The complications and the results of the SF-36, DASH Score, Neer scale modified by Cofield and Constant Murley tests depended on the radiological alignment (
p
= 0.009,
p
= 0.006,
p
= 0.025,
p
= 0.0008 and
p
= 0.0004). There were 37 patients younger than 70 years and 19 older than 70 years with no statistically significant differences when comparing the two groups.
Conclusions
This study demonstrates that satisfactory results can be obtained with osteosynthesis with locking plates in displaced proximal humerus fractures even in patients older than 70 years of age.
Level of evidence III
Retrospective Cohort, Treatment Study.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Plates</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Humans</subject><subject>Humeral Fractures</subject><subject>Humerus</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Patient satisfaction</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Retrospective Studies</subject><subject>Shoulder Fractures - diagnostic imaging</subject><subject>Shoulder Fractures - surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9UUmO1TAQjRCIbhouwAJZYsOCgO04TsKu1WKSWkJIsI4cp_y_m8QOHhpyG87CRbgK9X-aQSxY2a56g6teUTxk9BmjtHkeKa07WlJelbSSTV2ut4pTJipeMirb23_dT4p7MV5RyuqO1XeLk6qppWSCnhY_3mc12bQSb8hkDTwlJjudrHdqIsqNJKjR-snvrMaCz0n7GeIBnQKoNINLx8c-AJSLCulIMj6H7bUE_9XOSN3nGUKOxASlUw6o8cWmPZm8_mTdjiyTSlg7kNEBqTZ6R6wjq8_YvoYQkeynEQKaKUca-v3bCirEF0SRACn4uAB-_BpQYO_ROqY8rveLO0ZNER7cnGfFx1cvP1y8KS_fvX57cX5Z6orLVIqRVUJLaMyggGoqatqoejBCMy7bSlE9dFJ0kgPnYgDdtZSxRmqjuRwFtNVZ8WTTxYE_Z4ipn23UME3Kgc-x521NK6RwjtDH_0CvcF24b0R1jDH05gJRfENpnCwGMP0ScJFh7RntD_H3W_w9xt8f4-9XJD26kc7DDONvyq-8EVBtgIgtt4Pwx_s_sj8BrC_B2w</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Descalzo Godoy, Ignacio</creator><creator>Velasco Alcalde, Paula</creator><creator>Del Olmo Galeano, Alberto</creator><creator>Del Río Hortelano, Julián</creator><creator>Martínez Velez, David</creator><creator>Fernández González, Julián</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7975-665X</orcidid></search><sort><creationdate>20240101</creationdate><title>Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study</title><author>Descalzo Godoy, Ignacio ; Velasco Alcalde, Paula ; Del Olmo Galeano, Alberto ; Del Río Hortelano, Julián ; Martínez Velez, David ; Fernández González, Julián</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-4d134c6e7fbae0c04507a5bf4c12683a0cb964962e224bec9801176cfc26d4e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Plates</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Humans</topic><topic>Humeral Fractures</topic><topic>Humerus</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Patient satisfaction</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Retrospective Studies</topic><topic>Shoulder Fractures - diagnostic imaging</topic><topic>Shoulder Fractures - surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Descalzo Godoy, Ignacio</creatorcontrib><creatorcontrib>Velasco Alcalde, Paula</creatorcontrib><creatorcontrib>Del Olmo Galeano, Alberto</creatorcontrib><creatorcontrib>Del Río Hortelano, Julián</creatorcontrib><creatorcontrib>Martínez Velez, David</creatorcontrib><creatorcontrib>Fernández González, Julián</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Proquest Health & Medical Complete</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Descalzo Godoy, Ignacio</au><au>Velasco Alcalde, Paula</au><au>Del Olmo Galeano, Alberto</au><au>Del Río Hortelano, Julián</au><au>Martínez Velez, David</au><au>Fernández González, Julián</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>34</volume><issue>1</issue><spage>415</spage><epage>423</epage><pages>415-423</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
Verify if the use of locking plates in displaced three- and four-part proximal humerus fractures has meant an improvement even in patients over 70 years of age.
Material and methods
We performed surgery with locking plate fixation in 56 consecutive patients with three- and four-part proximal humerus fractures according to Neer's classification between 1/1/15 and 12/31/20 at our Hospital. Patient satisfaction, quality of life, functionality and radiological variables, as well as the comparison between patients older and younger than 70 years were the main outcomes. Likewise, factors and complications that may have influenced these variables were analyzed as secondary outcomes. The analysis of all these variables was performed after a minimum follow-up time of 24 months after surgery.
Results
51 patients (92%) ended up satisfied or very satisfied according to the SF-36 test and with no disability or mild disability according to the DASH Score questionnaire. 46 patients (82%) obtained a satisfactory or excellent result according to the Neer scale modified by Cofield and 38 (68%) a good or excellent function according to the Constant Murley questionnaire. In 47 cases (84%) good radiological alignment was observed. Complications occurred in 20 patients (36%). The complications and the results of the SF-36, DASH Score, Neer scale modified by Cofield and Constant Murley tests depended on the radiological alignment (
p
= 0.009,
p
= 0.006,
p
= 0.025,
p
= 0.0008 and
p
= 0.0004). There were 37 patients younger than 70 years and 19 older than 70 years with no statistically significant differences when comparing the two groups.
Conclusions
This study demonstrates that satisfactory results can be obtained with osteosynthesis with locking plates in displaced proximal humerus fractures even in patients older than 70 years of age.
Level of evidence III
Retrospective Cohort, Treatment Study.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>37566140</pmid><doi>10.1007/s00590-023-03675-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7975-665X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1068 |
| ispartof | European journal of orthopaedic surgery & traumatology, 2024-01, Vol.34 (1), p.415-423 |
| issn | 1432-1068 1633-8065 1432-1068 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2850311722 |
| source | MEDLINE; SpringerLink (Online service) |
| subjects | Aged Aged, 80 and over Bone Plates Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Humans Humeral Fractures Humerus Medicine Medicine & Public Health Original Article Patient satisfaction Quality of Life Questionnaires Retrospective Studies Shoulder Fractures - diagnostic imaging Shoulder Fractures - surgery Surgical Orthopedics Traumatic Surgery Treatment Outcome |
| title | Quality of life, functional and radiological outcomes of treatment of three-part and four-part proximal humerus fractures with locking plates and comparison in young versus older than 70 years: a retrospective cohort study |
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