Outcome after operative treatment of proximal humeral fractures in elderly patients

• Verfasst von: Muhm, Markus Joachim [VerfasserIn]
• Verfasst von: Winkler, Hartmut [VerfasserIn]
• Titel: Outcome after operative treatment of proximal humeral fractures in elderly patients
• Paralleltitel: Outcome nach operativer Versorgung von Humeruskopffrakturen beim älteren Menschen
• Verf.angabe: Markus Muhm, Julia Bott, Christoph Lahr, Hartmut Winkler, Thomas Ruffing
• Jahr: 2016
• Jahr des Originals: 2015
• Umfang: 7 S.
• Fussnoten: Gesehen am 26.08.2019 ; Published online: 29 September 2015
• Titel Quelle: Enthalten in: Zeitschrift für Gerontologie und Geriatrie
• Ort Quelle: Heidelberg : Springer Medizin, 1998
• Jahr Quelle: 2016
• Band/Heft Quelle: 49(2016), 6, Seite 505-511
• ISSN Quelle: 1435-1269
• DOI: doi:10.1007/s00391-015-0954-4
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Alltagsbewältigung
• Sach-SW: Coping with everyday life
• Sach-SW: Humeruskopffraktur
• Sach-SW: Lebensqualität
• Sach-SW: Outcome
• Sach-SW: Proximal humeral fracture
• Sach-SW: Quality of life
• Sach-SW: Satisfaction
• Sach-SW: Zufriedenheit
• K10plus-PPN: 1672149177

Abstract

Background: The proximal humeral fracture (PHF) (5 %) of the elderly is the third most common fracture after proximal femoral and distal radius fractures. Proximal femoral fractures often lead to a loss of autonomy. Objectives: The aim of this study is to show how PHF changes the patient’s autonomy and the coping with everyday life as well as which factors influence the outcome 1 year (y) after surgery. Materials and methods: Data of 62 patients with surgical treatment of a PHF ≥ 60 y was prospectively collected. With a telephone interview Short Form (SF) 12 (physical and mental health; PH, MH), Barthel Index (BI), range of motion, pain, and satisfaction was observed after 3 and 12 months. The dependence of outcome on different factors was investigated. Results: The mean age was 73.3 y (median 73, 60-94). Mortality after 3 months was 3 % and after 1 y 11 %. The PH before the injury (47.9) was significantly better than after 3 months (37.1) and after 1 y (42.6). The MH showed no difference. The BI before the injury (92) was significantly better than after 3 months (86), but the same after 1 y (91). After 1 y > 50 % were able to abduct and flex the arm > 90°. More than two-thirds were able to perform everyday life activities for body care and nutrition after 1 y. Approximately, 73 % of the patients had little or no pain, and 84 % were satisfied with the result after 1 y. Good score values before the fracture resulted in better outcome. Higher severity in fracture led to a higher level of pain. Discussion: A surgically treated PHF in the elderly does not lead to a relevant impairment in quality of life. Despite the lack of complete retrieval of range of motion patients achieve a good to very good result in coping with everyday life.