Document Detail

Early management of complex proximal humeral fractures using the Aequalis fracture prosthesis: a two- to five-year follow-up report.
MedLine Citation:
PMID:  19794169     Owner:  NLM     Status:  MEDLINE    
We reviewed the outcome of 28 patients who had been treated using the Aequalis fracture prosthesis for an acute fracture of the proximal humerus at a mean follow-up of 39.3 months (24 to 63). The mean age of the patients at the time of the fracture was 66.3 years (38 to 80). The mean Constant score was 68.2 (37 to 84) for the operated shoulder, which represented 89.5% of the mean score for the uninjured side (p < 0.001). The quality of the reconstruction as shown on the immediate post-operative radiographs was categorised into three types, anatomical, acceptable, and unacceptable, depending on the position of the tuberosities relative to the prosthetic head and the humeral shaft. Anatomical reconstruction was associated with a higher mean Constant score as well as higher mean values of anterior forward elevation, abduction and external rotation than the other types, but the differences were not statistically significant (p > 0.231). A total of 18 patients had active anterior elevation > or =150 degrees. Their mean active abduction and external rotation were 163.6 degrees and 31.3 degrees, respectively. In seven of the 28 patients, the mean active anterior elevation, abduction and external rotation were 130.7 degrees, 129.2 degrees and 22.8 degrees, respectively. In all, 12 patients were very satisfied with the results, 12 were satisfied, two were dissatisfied and two were disappointed; 26 reported no or only mild pain while only two had moderate pain. In five patients proximal migration of the humeral head was shown on the anteroposterior radiographs of the shoulder. No evidence of loosening was found in any prosthesis.
G M Kontakis; T I Tosounidis; Z Christoforakis; A G Hadjipavlou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-01     Completed Date:  2009-12-01     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1335-40     Citation Subset:  AIM; IM    
Department of Orthopaedics and Trauma, University Hospital of Heraklion, Heraklion, Crete, Greece.
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MeSH Terms
Aged, 80 and over
Arthroplasty, Replacement / methods*,  rehabilitation
Follow-Up Studies
Joint Prosthesis
Middle Aged
Patient Satisfaction
Prosthesis Design
Shoulder Fractures / rehabilitation,  surgery*
Treatment Outcome

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