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Elective implant removal in symptomatic patients after internal fixation of proximal humerus fractures improves clinical outcome.
- Source :
-
BMC Musculoskeletal Disorders . 3/10/2016, Vol. 17, p1-5. 5p. 1 Black and White Photograph, 1 Chart, 1 Graph. - Publication Year :
- 2016
-
Abstract
- <bold>Background: </bold>Operative treatment is the standard for severely displaced proximal humerus fractures, but functional impairment can persist. Retaining of the implant can be a reason and in other fracture situations has proved to ameliorate patient satisfaction. The aim of this study was to analyse the functional outcome after locking plate removal in proximal humerus fractures. <bold>Methods: </bold>In a two-year period, all symptomatic patients with plate osteosynthesis for proximal humerus fracture and hardware removal were retrospectively evaluated clinically and radiologically pre- and post-implant removal. Evaluation included Constant score, height of plate position and possible impingement, as well as intraoperative complications. <bold>Results: </bold>Twenty patients met the inclusion criteria. The mean age was 56 ± 12 years. The plates were placed 6.9 ± 3 mm distal to the greater tubercle. The operation was performed in 35 ± 10 min and no intraoperative complications were reported. The Constant score improved significantly after implant removal from 71 to 76 (p = 0.008). <bold>Conclusion: </bold>Symptomatic patients after locked plate osteosynthesis for proximal humerus fractures showed statistically significant improvement of the Constant score after implant removal. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INTERNAL fixation in fractures
*HUMERUS injuries
*SYMPTOMATIC Parkinson's disease
*RADIOLOGY
*OPERATIVE surgery
*FRACTURE fixation
*BONE fractures
*ORTHOPEDIC implants
*REOPERATION
*SHOULDER joint injuries
*SURGICAL complications
*ELECTIVE surgery
*TIME
*TREATMENT effectiveness
*RETROSPECTIVE studies
*MEDICAL device removal
Subjects
Details
- Language :
- English
- ISSN :
- 14712474
- Volume :
- 17
- Database :
- Academic Search Index
- Journal :
- BMC Musculoskeletal Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 113696668
- Full Text :
- https://doi.org/10.1186/s12891-016-0977-z