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20240917234105.0 |
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240916s2024 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2024.04.010
|2 doi
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|a pubmed24n1536.xml
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|a (NLM)39280154
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|a DE-627
|b ger
|c DE-627
|e rakwb
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| 041 |
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|a eng
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| 100 |
1 |
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|a Jägerhuber, Ludwig
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Patient satisfaction after removal of locking plates in proximal humeral fractures - worth the surgery under functional and cosmetic aspects?
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| 264 |
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1 |
|c 2024
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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
|b cr
|2 rdacarrier
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|a Date Revised 17.09.2024
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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|a © 2024 The Authors.
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|a Background: Locking plates are one of the most frequently used implants in surgical treatment of displaced proximal humeral fractures. In spite of this established implant and a standardized approach, reduced shoulder function might remain a mid-to long-term issue, furthermore scars may influence patient satisfaction as a cosmetic issue. Indications for a second surgery to remove implant and/or scar revision are common questions in this context.The aim of the present study was to assess the benefit of a second surgery, including implant removal and scar revision surgery, on patients' satisfaction under functional and cosmetic aspects
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|a Methods: Patients following displaced proximal humeral fractures treated by open reduction and internal fixation with a locking plate osteosynthesis via a delto-pectoral approach following implant removal were included retrospectively. A follow-up took place anamnestically before the incident or the primary surgery [A], before second surgery [B], and after second surgery (scar revision/implant removal) [C]. Functional outcome (Constant Score (CS)) of both shoulders was obtained using a patient-reported outcome measure to evaluate the contralateral side as well as percentage CS (%CS). Furthermore, the cosmetic outcome was evaluated for color, contour, and size
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|a Results: The clinical data of n = 81 patients with displaced proximal humeral fractures and the consecutive open reduction and internal fixation with a locking plate (51 women = 63.0% and 30 men = 37.0%; mean age: 53.7 ± 16.6 years) via a standardized deltopectoral approach could be included. The mean CS) before sustaining the humeral fracture or primary surgery [A] was anamnestically 85.8 ± 8.5 points and %CS 99.4 ± 8.4%. After open reduction and internal with a locking plate osteosynthesis [B], the mean CS was 72.2 ± 9.1 points and %CS 84.5 ± 8.7%. Following the scheduled implant removal and scar revision [C], the CS was 80 ± 13.1 points and %CS 92.3 ± 14.1%. After primary surgery, 26 patients (32.1%) complained about the scar because of color, contour, or size before the second surgery, and 23 patients (28.4%) afterwards
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|a Conclusion: Implant removal after locking plate osteosynthesis in proximal humeral fractures via a delto-pectoral approach leads to an improved outcome both functionally and cosmetically. CS as well as scar situation and patients' overall satisfaction could be improved with a second surgery. Nevertheless, the need for a second surgery depends on the patients' functional and cosmetic demands
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|a Journal Article
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4 |
|a Constant Score
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| 650 |
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4 |
|a Cosmetics
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| 650 |
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4 |
|a Functional outcome
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| 650 |
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4 |
|a Implant removal
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| 650 |
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4 |
|a Locked plating
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| 650 |
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4 |
|a Proximal humeral fracture
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| 650 |
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4 |
|a Scar
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| 700 |
1 |
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|a Siebenbürger, Georg
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Fleischhacker, Evi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Gibert, Fabian
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Böcker, Wolfgang
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Helfen, Tobias
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 8(2024), 5 vom: 28. Sept., Seite 921-925
|w (DE-627)NLM307818438
|x 2666-6383
|7 nnns
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| 773 |
1 |
8 |
|g volume:8
|g year:2024
|g number:5
|g day:28
|g month:09
|g pages:921-925
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| 856 |
4 |
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|u http://dx.doi.org/10.1016/j.jseint.2024.04.010
|3 Volltext
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