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- W4387189906 abstract "The main objective of this retrospective analysis was to report on the long-term clinical and radiographic outcomes (>10 years) in a series of patients who have previously undergone hemiarthroplasty for proximal humerus fracture (PHFx). The charts of 11 patients (12 shoulders) who underwent hemiarthroplasty for PFHx were retrospectively analyzed and stratified based on tuberosity healed (TH) or tuberosity resorption (TR). The primary endpoints included range of motion measurements and patient reported outcome scores. We obtained forward elevation, external rotation, internal rotation, Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons scores (ASES), and Visual Analog Scores (VAS). Tuberosity healing or resorption, acromiohumeral interval, subluxation, and humeral radiolucency were analyzed separately by two fellowship trained orthopedic surgeons. The mean age at surgery for TH patients was 60.0 ± 9.8 years and TR patients was 57.7 ± 4.3 years. There were 7 cases in tuberosity healing cohort and 5 cases in the tuberosity resorption cohort. Implant survivorship at final follow-up was 100% (7/7) for TH and 60% (3/5) for TR; 2 patients who failed HA were converted to reverse total shoulder arthroplasty. Mean postoperative forward elevation (TH:155, TR:36o; p-value<0.01), external rotation (TH:59o, TR:28o; p-value<0.01) and internal rotation (TH:T12, TR:L3; p-value=0.08) were higher in the tuberosity healed cohort. ASES scores (TH:90, TR:40; p-value<0.01) and SST scores (TH:9, TR:2; p-value<0.01) were statistically significant between the two cohorts while VAS scores approached significance (Mean VAS (TH:1, TR:4; p-value=0.08). To our knowledge, this study provides the longest follow-up to date for outcomes following hemiarthroplasty with fracture. Significant improvements in shoulder function and reduction in pain levels are sustainable even after 19 years in patients whose tuberosity heal. Hemiarthroplasty remains a viable option for younger candidates whose tuberosity will heal postoperatively." @default.
- W4387189906 created "2023-09-30" @default.
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- W4387189906 date "2023-09-01" @default.
- W4387189906 modified "2023-09-30" @default.
- W4387189906 title "Hemiarthroplasty for Proximal Humerus Fractures: Clinical and Radiographic Outcomes after an Average of 19 Years" @default.
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- W4387189906 doi "https://doi.org/10.1053/j.sart.2023.08.006" @default.
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