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231225s2021 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2021.06.004
|2 doi
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|a pubmed25n1109.xml
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|a (NLM)34766075
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| 041 |
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|a eng
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| 100 |
1 |
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|a Foruria, Antonio M
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Proximal humeral fracture locking plate fixation with anatomic reduction, and a short-and-cemented-screws configuration, dramatically reduces the implant related failure rate in elderly patients
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|c 2021
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| 336 |
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
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|2 rdacarrier
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|a Date Revised 28.04.2022
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2021 The Authors.
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|a BACKGROUND: Multiple studies have reported an unacceptable implant-related complication rate in proximal humeral fractures treated with locking plates, particularly in older patients. Our objective was to compare the fracture fixation failure rates in elderly patients, after a dedicated technique for locking plate fixation with cement augmentation or without it
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|a METHODS: A total of 168 open reduction and internal fixation with locking plates were performed for complex proximal humerus fractures by a single surgeon in 136 women and 32 men older than 65 years of age (average 76 years). Treatment groups included group 1 with noncemented screws (n = 90) and group 2 with cemented screws (n = 78). As per Mayo-FJD Classification, there were 74 (44%) varus posteromedial impaction, 41 (24%) algus impaction, 46 (28%) surgical neck, and 7 (4%) head dislocation injuries. A retrospective radiographic and a clinical analysis was performed
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|a RESULTS: At a mean follow-up of 33 months, the implant failure rate was significantly lower in the cement augmentation group (1% vs. 8%, P = .03). The overall complication rate was 21% (25% group 1, 15% group 2; P = .1). Global avascular necrosis was associated with sustaining a valgus impacted fracture (P = .02 odds ratio 5.7), but not to augmentation. Partial avascular necrosis occurred only in patients treated with cemented screws (3.8%). The overall revision rate was 9% in both groups. Forward elevation was 126 ± 36 degrees and external rotation was 44 ± 19 degrees. The mean Constant score was 70 ± 15 in group 1 and 76 ± 15 in group 2 (P = .03)
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|a CONCLUSION: Cement augmentation significantly decreased the rate of implant failure. Good results are expected for most patients treated with this technique
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|a Journal Article
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| 650 |
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|a Cement augmentation
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|a Cemented screws
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|a Elderly
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| 650 |
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|a Implant failure
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| 650 |
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4 |
|a Locking plate
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| 650 |
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4 |
|a Proximal humerus
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| 700 |
1 |
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|a Martinez-Catalan, Natalia
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Valencia, María
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Morcillo, Diana
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Calvo, Emilio
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 5(2021), 6 vom: 17. Nov., Seite 992-1000
|w (DE-627)NLM307818438
|x 2666-6383
|7 nnas
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| 773 |
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|g volume:5
|g year:2021
|g number:6
|g day:17
|g month:11
|g pages:992-1000
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| 856 |
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|u http://dx.doi.org/10.1016/j.jseint.2021.06.004
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