Functional outcomes in proximal humerus fractures: a prospective registry-based analysis
Objective: To evaluate clinical and functional outcomes of proximal humerus fractures managed with different procedures and determining factors influencing outcomes. Methods: Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care Hospital from June 20...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2021-12-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/256 |
| _version_ | 1797820724369424384 |
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| author | Tashfeen Ahmad Zehra Abdul Muhammad Amna Haroon |
| author_facet | Tashfeen Ahmad Zehra Abdul Muhammad Amna Haroon |
| author_sort | Tashfeen Ahmad |
| collection | DOAJ |
| description |
Objective: To evaluate clinical and functional outcomes of proximal humerus fractures managed with different procedures and determining factors influencing outcomes.
Methods: Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care Hospital from June 2015 to October 2019. Sixty-nine adult patients with proximal humerus fracture managed either surgically or non-operatively were identified. Functional and clinical outcomes had been assessed using Quick Disability of the Arm, Shoulder and Hand score. Outcomes were assessed up to 12 months follow-ups and were compared between different treatment groups and between isolated versus proximal humerus with additional upper limb fractures.
Results: In the 69 patients, 31 (45%) belonged to >55 years age group. Fifty-eight (84%) patients were operated of which 43 (62%) underwent Proximal Humeral Internal Locking System procedure. There was non-significant difference in clinical and functional outcomes between isolated versus proximal humerus fractures associated with other upper limb fractures at follow-ups 6 weeks onwards. At 3 months follow-up, there was significantly better outcomes in all treatment groups compared to PHILOS with bone graft/BMP (p=0.004-0.035). Males had significantly better recovery at 3 months as compared to females (p=0.04).
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| first_indexed | 2024-03-13T09:42:28Z |
| format | Article |
| id | doaj.art-6d41345ea5b549daae77460940d29134 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:42:28Z |
| publishDate | 2021-12-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-6d41345ea5b549daae77460940d291342023-05-25T04:23:50ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822021-12-0171710.47391/JPMA.04-600Functional outcomes in proximal humerus fractures: a prospective registry-based analysis Tashfeen Ahmad0Zehra Abdul Muhammad 1Amna Haroon 2Department of Surgery and Biological and Biomedical Sciences, Aga Khan University, Karachi, PakistanDepartment of Surgery, Aga Khan University Hospital, Karachi, Pakistan3rd Year MBBS Student, Jinnah Medical and Dental College, Karachi, Pakistan Objective: To evaluate clinical and functional outcomes of proximal humerus fractures managed with different procedures and determining factors influencing outcomes. Methods: Data of this prospective cohort was obtained from the orthopaedic trauma registry at a tertiary care Hospital from June 2015 to October 2019. Sixty-nine adult patients with proximal humerus fracture managed either surgically or non-operatively were identified. Functional and clinical outcomes had been assessed using Quick Disability of the Arm, Shoulder and Hand score. Outcomes were assessed up to 12 months follow-ups and were compared between different treatment groups and between isolated versus proximal humerus with additional upper limb fractures. Results: In the 69 patients, 31 (45%) belonged to >55 years age group. Fifty-eight (84%) patients were operated of which 43 (62%) underwent Proximal Humeral Internal Locking System procedure. There was non-significant difference in clinical and functional outcomes between isolated versus proximal humerus fractures associated with other upper limb fractures at follow-ups 6 weeks onwards. At 3 months follow-up, there was significantly better outcomes in all treatment groups compared to PHILOS with bone graft/BMP (p=0.004-0.035). Males had significantly better recovery at 3 months as compared to females (p=0.04). Continuous... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/256 |
| spellingShingle | Tashfeen Ahmad Zehra Abdul Muhammad Amna Haroon Functional outcomes in proximal humerus fractures: a prospective registry-based analysis Journal of the Pakistan Medical Association |
| title | Functional outcomes in proximal humerus fractures: a prospective registry-based analysis |
| title_full | Functional outcomes in proximal humerus fractures: a prospective registry-based analysis |
| title_fullStr | Functional outcomes in proximal humerus fractures: a prospective registry-based analysis |
| title_full_unstemmed | Functional outcomes in proximal humerus fractures: a prospective registry-based analysis |
| title_short | Functional outcomes in proximal humerus fractures: a prospective registry-based analysis |
| title_sort | functional outcomes in proximal humerus fractures a prospective registry based analysis |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/256 |
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