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Journals / Artroplasti Artroskopik Cerrahi (Yeni Adı: Eklem Hastalıkları ve Cerrahisi) / 2002 / Cilt: 13 - Sayı: 2

Early results of primary hemiarthroplasty for the intraarticular displaced proximal humeral fractures in the elderly patients

Yaşlı hastalarda deplase parçalı eklem içi proksimal humerus kırıklarında primer hemiartroplasti uygulamalarımızın erken sonuçları

Osman RODOP
M. Ömer ARPACIOĞLU
Ahmet KIRAl
İbrahim AKMAZ
Selim ŞANEL
Haluk KAPLAN
Pages
78–84
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: We believe that increasement in the success rate is due to proper patient selection, meticulous surgical technique and the early postoperative rehabilitation.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: In this study, the outcome of 16 patients who were treated with shoulder hemiarthroplasty between September 1998 and November 2000 were evaluated functionally.
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Key Findings & Data:Material and Methods: Of the 16 patients, 12 were female (%75) and 4 were male (%25).
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Conclusion & Impact:Conclusions: We believe that increasement in the success rate is due to proper patient selection, meticulous surgical technique and the early postoperative rehabilitation.
🔬Design:Research Article
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: In this study, the outcome of 16 patients who were treated with shoulder hemiarthroplasty between September 1998 and November 2000 were evaluated functionally. Material and Methods: Of the 16 patients, 12 were female (%75) and 4 were male (%25). Mean age was 70.06 years with a range of 44-86. In five patients fracture was due to high energy trauma and in eleven patients was low energy trauma. Fractures were classified according to Neer's four part classification system. Seven patients were treated by applying Neer Type 2 Prosthesis, 8 patients by Modular Prosthesis. One patient was treated by applying a special prosthesis which had a long stem. Patients were assessed according to radiological findings and Constant Score for the shoulder functions. Results: We didn't need any revision operation. In 6 patients, the rehabilitation program was completed at the end of one year and is still in progress in the others. One patient died because of pulmonary embolism. In 1 patient there was superficial infection treated successfully. In 1 patient there was neurological deficiency before the operation as a result of the trauma. Deficiency decreased after the operation but required subsequent neurosurgical intervention. Conclusions: We believe that increasement in the success rate is due to proper patient selection, meticulous surgical technique and the early postoperative rehabilitation.

Özet

Giriş: Çalışmamızda kliniğimizde Eylül 1998 -Kasım 2000 tarihleri arasında primer omuz hemiartroplastisi uygulanmış 16 proksimal humérus eklem içi kırıklı olgunun erken sonuçları incelenmiştir. Hastalar ve Yöntem: 16 olgunun 12'si kadın (%75), 4'ü erkek (%25)ti. Ortalama yaş 70.06 (44-86) dır. Kırıklar Neer'in 4 parça sistemine göre sınıflandırıldı. Travma ile cerrahi arasında geçen süre ortalama 6 gün (2-12 gün) idi. Olguların 7'sine Neer Tip 2 Parsiyel Humeral Protez, 8'ine Modüler Parsiyel Protez ve l olguya da kırığının özel durumu nedeniyle uzun saplı protez ve tespit amaçlı tel serklaj uygulandı. Olgular postoperatif dönemde radyolojik olarak değerlendirilmenin yanı sıra, fonksiyonel açıdan da Constant Omuz Skorlaması ile değerlendirildiler. Bulgular: Hiçbir olguda revizyona gidilmedi. Olgularımızın 6 tanesinde bir yıllık rehabilitasyon süresi tamamlanmış, 9 tanesinde halen rehabilitasyon devam etmektedir. Bir hasta postoperatif 2. günde pulmoner embolizm nedeniyle kaybedildi, l hastada postoperatif 5. günde, tedaviye yanıt alınan yüzeyel enfeksiyon gelişti, l hastada da travmaya bağlı preoperatif olarak mevcut nörolojik defisit postoperatif dönemde de azalarak devam etti ve bu hastaya Nöroşirurji Kliniği'nce operasyon uygulandı. Tartışma: Hasta seçiminin doğru yapıldığı başarılı omuz hemiartroplastisi uygulamalarında postoperatif erken rehabilitasyon ile fonksiyonel açıdan hem hastayı hem de cerrahı memnun edici sonuçlar alınmaktadır.

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Cite This Article

RODOP, O., ARPACIOĞLU, M. Ö., KIRAl, A., AKMAZ, İ., ŞANEL, S., KAPLAN, H. (2022). Early results of primary hemiarthroplasty for the intraarticular displaced proximal humeral fractures in the elderly patients. Artroplasti Artroskopik Cerrahi (Yeni Adı: Eklem Hastalıkları ve Cerrahisi), Cilt: 13 - Sayı: 2, 78–84. https://ajindex.com/articles/449903

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References (16)

  1. Hartsock LA, Estes WJ, Murray CA, Friedman RJ.Shoulder hemiarthroplasty for proximal humeral fractures.Orthop Clin North Am 1998; 29: 467-75
  2. Crenshaw AH. Fractures of shoulder girdle, arm, and forearm. In: Canale ST. Ed. Campbell's operative Orthopaedics. Mosby-Year Book, Inc. 1998; 2285-96
  3. Bigliani LU, Flatow EL, Pollock RG. Fractures of the proximal humerus.In: Rockwood CA, Green DP, Bucholz RW, Heckman JD. Ed. Fractures in adults. JB Lippincott-Raven Publishers 1996; 1: 1055-108
  4. Cofield RH. The shoulder and prosthetic arthroplasty. In Evarts CMcC. Ed. Surgery of the musculoskeletal system.Churchill Livingstone New York, 1990; 1571- 91
  5. Brems JJ. Rehabilitation following shoulder arthroplasty. In Friedman RJ Ed. Arthroplasty of the shoulder. New York, Thieme, 1994; 99-112, 6. Constant CR, Murley AHG. A clinical method of functional assessment of the shoulder. Clin Orthop 1987; 214:160-4
  6. Norris TR, Lipson SR. Management of the unstable prosthetic shoulder arthroplasty. Instr Course Lect 1998;47: 141-8
  7. Hawkins RJ, Neer CS 2d, Pianta RM, Mendoza FX.Locked posterior dislocations of the shoulder. J Bone Joint Surg [Am] 1987; 69: 9-18
  8. Sperling JW, Cofield RH, Rowland CM. Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. J Bone Joint Surg. 1998; 80A: 464-73
  9. Neer CS. Letter to the editor. J Bone Joint Surg. 1999;81A: 295
  10. Friedman RJ. Humeral technique in total shoulder arthroplasty. Orthop Clin North Am. 1998; 29(3): 393-402
  11. Wirth MA, Rockwood CA. Current concepts rewiew complications of total shoulder-replacement arthroplasty.J Bone Joint Surg. 1996; 78A: 603-16
  12. Cuomo F, Checroun A. Avoiding pitfalls and complications in total shoulder arthroplasty. Orthop Clin North Am.1998; 29(3): 507-18
  13. Wretenberg R Ekelund A. Acute hemiarthroplasty after proximal humerus fracture in old patients. Acta Orthop Scand 1997; 68: 121-3
  14. Dimakapoulos P, Potamitis N, Lambiris E. Hemiarthroplasty in the treatment of comminuted intraarticular fractures of the proximal humerus. Clin Orthop 1997; 341: 7-11
  15. Movin T, Sjöden GOJ, Ahrengart L. Poor function after shoulder replacement in the fracture patients. Acta Orthop Scand 1998; 69: 392 - 6
  16. Pearl ML, Kurutz S. Geometric analysis of commonly used prosthetic systems for proximal humeral replacement. J Bone Joint Surg. 1999; 81A: 660-71.