Surgical Techniques for the Treatment of Proximal Humerus Fractures in Elderly Patients: A Comparative Analysis

İdris Perktaş

Makale detayları

Surgical Techniques for the Treatment of Proximal Humerus Fractures in Elderly Patients: A Comparative Analysis

Yazarlar:

İdris Perktaş

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 4, pp.581-586

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325830

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 Aims: It is common for the elderly, mostly due to osteoporosis and falls, to suffer proximal humerus fractures. This study aims to compare the efficacy of reverse total shoulder arthroplasty rTSA and open reduction with internal fixation ORIF in the treatment of these fractures with a focus on functional outcomes and patient satisfaction. Methods: In this retrospective study, 65-85-year-old patients who underwent rTSA or ORIF for displaced proximal humerus fractures between January 1, 2021 and January 1, 2022 were analysed. Sixty patients participated in this study; they were divided into two groups as follows: Group 1 rTSA, n30 and Group 2 ORIF, n30. Constant and Oxford shoulder scores were used to evaluate outcomes while complications and patient satisfaction were also recorded. Statistical analysis involved t-tests and Chi-square tests whereby the p-value 0.05 indicated significance. Results: There was considerable improvement in various categories: Group 1 rTSA, the constant score improved from preoperative stage of 35 8 to postoperatively of 7510; oxford score ranged from preoperative level of 256 to postoperative level of 809 respectively p0.05 for both cases Group II ORIF, the constant score improved from preoperative stage of337to postoperatively of6512; oxford score ranged from preoperative level245to postoperative level7011respectivelyp0.05 for both. Patients undergoing rTSA than those on ORIF, with corresponding rates being very satisfied at66.7 versus54.5. Several complications occurred more frequently in the ORIF group including delayed union 18.2 vs3.3 and infection 22.7 vs6.7. Conclusions: rTSA is associated with better functional outcomes, higher patient satisfaction, and fewer complications compared to ORIF for proximal humerus fractures in the elderly. These findings suggest that rTSA may be a more favourable surgical option for this population of patients. Moreover, future studies should involve larger samples and look at longer follow-up periods to ascertain these results.

 Aims: It is common for the elderly, mostly due to osteoporosis and falls, to suffer proximal humerus fractures. This study aims to compare the efficacy of reverse total shoulder arthroplasty rTSA and open reduction with internal fixation ORIF in the treatment of these fractures with a focus on functional outcomes and patient satisfaction. Methods: In this retrospective study, 65-85-year-old patients who underwent rTSA or ORIF for displaced proximal humerus fractures between January 1, 2021 and January 1, 2022 were analysed. Sixty patients participated in this study; they were divided into two groups as follows: Group 1 rTSA, n30 and Group 2 ORIF, n30. Constant and Oxford shoulder scores were used to evaluate outcomes while complications and patient satisfaction were also recorded. Statistical analysis involved t-tests and Chi-square tests whereby the p-value 0.05 indicated significance. Results: There was considerable improvement in various categories: Group 1 rTSA, the constant score improved from preoperative stage of 35 8 to postoperatively of 7510; oxford score ranged from preoperative level of 256 to postoperative level of 809 respectively p0.05 for both cases Group II ORIF, the constant score improved from preoperative stage of337to postoperatively of6512; oxford score ranged from preoperative level245to postoperative level7011respectivelyp0.05 for both. Patients undergoing rTSA than those on ORIF, with corresponding rates being very satisfied at66.7 versus54.5. Several complications occurred more frequently in the ORIF group including delayed union 18.2 vs3.3 and infection 22.7 vs6.7. Conclusions: rTSA is associated with better functional outcomes, higher patient satisfaction, and fewer complications compared to ORIF for proximal humerus fractures in the elderly. These findings suggest that rTSA may be a more favourable surgical option for this population of patients. Moreover, future studies should involve larger samples and look at longer follow-up periods to ascertain these results.

 Aims: It is common for the elderly, mostly due to osteoporosis and falls, to suffer proximal humerus fractures. This study aims to compare the efficacy of reverse total shoulder arthroplasty rTSA and open reduction with internal fixation ORIF in the treatment of these fractures with a focus on functional outcomes and patient satisfaction. Methods: In this retrospective study, 65-85-year-old patients who underwent rTSA or ORIF for displaced proximal humerus fractures between January 1, 2021 and January 1, 2022 were analysed. Sixty patients participated in this study; they were divided into two groups as follows: Group 1 rTSA, n30 and Group 2 ORIF, n30. Constant and Oxford shoulder scores were used to evaluate outcomes while complications and patient satisfaction were also recorded. Statistical analysis involved t-tests and Chi-square tests whereby the p-value 0.05 indicated significance. Results: There was considerable improvement in various categories: Group 1 rTSA, the constant score improved from preoperative stage of 35 8 to postoperatively of 7510; oxford score ranged from preoperative level of 256 to postoperative level of 809 respectively p0.05 for both cases Group II ORIF, the constant score improved from preoperative stage of337to postoperatively of6512; oxford score ranged from preoperative level245to postoperative level7011respectivelyp0.05 for both. Patients undergoing rTSA than those on ORIF, with corresponding rates being very satisfied at66.7 versus54.5. Several complications occurred more frequently in the ORIF group including delayed union 18.2 vs3.3 and infection 22.7 vs6.7. Conclusions: rTSA is associated with better functional outcomes, higher patient satisfaction, and fewer complications compared to ORIF for proximal humerus fractures in the elderly. These findings suggest that rTSA may be a more favourable surgical option for this population of patients. Moreover, future studies should involve larger samples and look at longer follow-up periods to ascertain these results.

 Amaçlar: Yaşlılarda proksimal humerus kırıkları, düşmeler ve osteoporoz nedeniyle yaygındır. Bu çalışmanın amacı, bu kırıkların tedavisinde ters total omuz artroplastisi rTSA ve açık redüksiyon ve internal tespiti ORIF etkinliğini karşılaştırmak, fonksiyonel sonuçlar ve hasta memnuniyetine odaklanmaktır. Yöntemler: Bu retrospektif çalışma, 1 Ocak 2021 ile 1 Ocak 2022 tarihleri arasında yer değiştirmiş proksimal humerus kırıkları nedeniyle rTSA veya ORIF uygulanan 65-85 yaş arası hastaları analiz etti. Çalışmaya toplam 60 hasta dahil edildi, iki gruba ayrıldı: Grup 1 rTSA, n30 ve Grup 2 ORIF, n30. Sonuçlar Constant ve Oxford Omuz Skorları kullanılarak değerlendirildi ve komplikasyonlar ile hasta memnuniyeti de kaydedildi. İstatistiksel analizlerde t-testleri ve Ki-kare testleri kullanıldı, p-değerleri 0.05 anlamlı kabul edildi. Bulgular: Grup 1de rTSA Constant Skorları preoperatif olarak 35  8den postoperatif olarak 75  10a, Oxford Skorları ise 25  6dan 80  9a anlamlı şekilde iyileşme gösterdi her ikisi de p  0.05. Grup 2de ORIF Constant Skorları 33  7den 65  12ye, Oxford Skorları ise 24  5ten 70  11e iyileşti her ikisi de p  0.05. rTSA hastaları, 66.7 çok memnuniyet oranı ile ORIF grubundaki 54.5ten daha yüksek memnuniyet bildirdi. ORIF grubunda gecikmiş kaynama 18.2ye karşı 3.3 ve enfeksiyon 22.7ye karşı 6.7 gibi komplikasyonlar daha yaygındı. Sonuçlar: rTSA, yaşlılarda proksimal humerus kırıkları için ORIFe kıyasla daha iyi fonksiyonel sonuçlar, daha yüksek hasta memnuniyeti ve daha az komplikasyon ile ilişkilidir. Bu bulgular, rTSAnın bu hasta popülasyonunda tercih edilebilir bir cerrahi seçenek olabileceğini göstermektedir. Bu sonuçları doğrulamak için daha büyük örneklemli ve uzun takip süreli gelecekteki çalışmalara ihtiyaç vardır.

Makale detayları

Surgical Techniques for the Treatment of Proximal Humerus Fractures in Elderly Patients: A Comparative Analysis

Yazarlar:

İdris Perktaş

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 4, pp.581-586

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325830

pISSN:

2602-3741

Proximal humerus fractures

reverse total shoulder arthroplasty

open reduction internal fixationProksimal humerus kırıkları

Ters total omuz artroplastisi

Açık redüksiyon internal tespit

Sayı

Makale detayları

Surgical Techniques for the Treatment of Proximal Humerus Fractures in Elderly Patients: A Comparative Analysis

Yazarlar: İdris Perktaş

Yayıncı: Selcuk University

Ana Başlıklar: Ortopedi

Dergi: Genel Tıp Dergisi Vol.34 Issue 4, pp.581-586

Belge Tipi: Makale

Yayın Tarihi: 8/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001325830

pISSN: 2602-3741

Proximal humerus fractures

reverse total shoulder arthroplasty

open reduction internal fixationProksimal humerus kırıkları

Ters total omuz artroplastisi

Açık redüksiyon internal tespit

Sayı

Yazarlar:

İdris Perktaş

Yayıncı:

Selcuk University

Ana Başlıklar:

Ortopedi

Dergi:

Genel Tıp Dergisi Vol.34 Issue 4, pp.581-586

Belge Tipi:

Makale

Yayın Tarihi:

8/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001325830

pISSN:

2602-3741