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• W3024002015 abstract "To compare the effectiveness of simultaneous and delayed repair of combined full-thickness rotator cuff rupture in proximal humerus fracture.Between January 2015 and January 2017, 44 patients with proximal humerus fractures complicated with full-thickness rotator cuff injuries were included. Twenty-four patients underwent open reduction and internal fixation (ORIF) and rotator cuff repair simultaneously (simultaneous operation group), and 20 patients underwent delayed arthroscopic rotator cuff repair more than 90 days after ORIF (delayed operation group). There was no significant difference in gender, age, cause of injury, and side of injury between the two groups ( P>0.05). The fracture healing was observed by X-ray films. The shoulder function was assessed at 3, 6, and 12 months after operation by using the University of California at Los Angeles (UCLA) score.All incisions healed by first intention. All patients were followed up 12-24 months (mean, 17 months). Fractures all healed at 3 months after operation in simultaneous operation group. According to UCLA score, the patients had achieved significantly better outcomes in function, active forward flexion, strength of forward flexion, and subjective satisfaction in simultaneous operation group than in delayed operation group at 3, 6, and 12 months after operation ( P<0.05). However, there was no significant difference in pain between the two groups ( P>0.05).For patients with proximal humerus fracture complicated with full-thickness rotator cuff rupture, performing ORIF and simultaneous repair of rotator cuff can improve shoulder function and achieve better effectiveness when compared with delayed repair of rotator cuff.探讨肱骨近端骨折合并肩袖全层破裂时，同期和延期修复肩袖的疗效差异。.回顾分析 2015 年 1 月—2017 年 1 月收治的 44 例肱骨近端骨折合并肩袖全层破裂患者临床资料。其中，24 例同期行骨折复位内固定和肩袖损伤修复（同期手术组）；20 例行骨折复位内固定后延期（>90 d）行肩袖损伤修复（延期手术组）。两组患者性别、年龄、致伤原因、损伤侧别等一般资料比较，差异均无统计学意义（ P>0.05），具有可比性。术后复查 X 线片，观察骨折愈合情况；术后 3、6、12 个月采用美国加州大学洛杉矶分校（UCLA）评分评价肩关节疼痛及功能。.两组术后切口均Ⅰ期愈合。两组患者均获随访，随访时间 12～24 个月，平均 17 个月。同期手术组术后 3 个月随访时骨折均愈合。术后 3、6、12 个月同期手术组 UCLA 评分中功能、主动前屈活动度、前屈力量、主观满意度方面均显著优于延期手术组，差异均有统计学意义（ P<0.05）；两组疼痛差异无统计学意义（ P>0.05）。.对于肱骨近端骨折合并肩袖全层破裂患者，同期手术修复肩袖损伤疗效优于延期修复，能有效改善患者肩关节功能。." @default.
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• W3024002015 date "2019-09-15" @default.
• W3024002015 modified "2023-09-27" @default.
• W3024002015 title "[Effectiveness of simultaneous versus delayed repair of combined full-thickness rotator cuff rupture in proximal humerus fracture]." @default.
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• W3024002015 doi "https://doi.org/10.7507/1002-1892.201902017" @default.
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