Factors affecting results of patients with humeral proximal end fractures undergoing primary hemiarthroplasty: A retrospective study in 42 patients

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dc.authoridKanatli, Ulunay/0000-0002-9807-9305
dc.authoriddeveci, mehmet ali/0000-0002-3670-3985
dc.authoridGultekin, Serap/0000-0001-6349-3998
dc.contributor.authorEsen, Erdinc
dc.contributor.authorDogramaci, Yunus
dc.contributor.authorGultekin, Serap
dc.contributor.authorDeveci, Mehmet Ali
dc.contributor.authorSuluova, Fatih
dc.contributor.authorKanatli, Ulunay
dc.contributor.authorBolukbasi, Selcuk
dc.date.accessioned2024-09-18T20:26:39Z
dc.date.available2024-09-18T20:26:39Z
dc.date.issued2009
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim: Our study reports long-term results and factors related to patient satisfaction in the case of primary hemiarthroplasty for humeral proximal end fractures. Patients and methods: We retrospectively evaluated 42 patients with humeral proximal end fractures who underwent primary hemiarthroplasty in our clinic from February 1994 to March 2004. Of the 42 patients, 14 (33%) were male and 28 (67%) female. The mean age was 68.9 +/- 5.57 years (age range: 59-81 years). The mean follow-up period was 78.8 +/- 26.6 months (range: 48-118 months). We evaluated the following parameters: fracture type according to the Neer classification, the time interval between the fracture and the operation, postoperative radiological examination, the Neer outcome assessment criteria for patient satisfaction and functions, according to the Constant and Murley Scoring (CMS) system. Results: We found good-to-excel lent outcomes in 36 (85.7%) and poor outcome in six (14.3%) patients according to the Neer criteria. The average values for CMS score, anterior elevation and external rotation were 73.59 +/- 17.95 (25-94), 121.30 +/- 42.99 degrees (range: 30-170 degrees) and 30 degrees (range: 0-80 degrees), respectively. The patients who had been operated in the early period (within 2 weeks) had better functional outcomes (p < 0.001) and had significant pain relief. There was a strong positive correlation between the humeral offset (distance between the head and the tuberosities) and the degree of elevation (r = 0.872, p < 0.001). There was a strong negative correlation between the height of the humeral head and the degree of elevation (r = -0.853, p < 0.001). Conclusion: In humeral proximal end fractures, primary hemiarthroplasty in the early period with the anatomic reconstruction of bone and soft tissues of the shoulder joint and long-term regular rehabilitation programme are important factors contributing to increased patient satisfaction. (C) 2009 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2009.06.019
dc.identifier.endpage1341en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue12en_US
dc.identifier.pmid19595326en_US
dc.identifier.scopus2-s2.0-70449534778en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1336en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2009.06.019
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10459
dc.identifier.volume40en_US
dc.identifier.wosWOS:000272933000020en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal of The Care of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHemiarthroplastyen_US
dc.subjectHumeral proximal end fractureen_US
dc.subjectShoulder painen_US
dc.titleFactors affecting results of patients with humeral proximal end fractures undergoing primary hemiarthroplasty: A retrospective study in 42 patientsen_US
dc.typeArticleen_US

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