More adverse events after osteosyntheses compared to arthroplasty in geriatric proximal humeral fractures involving anatomical neck

• Verfasst von: Porschke, Felix [VerfasserIn]
• Verfasst von: Bockmeyer, Julia [VerfasserIn]
• Verfasst von: Nolte, Philip-Christian [VerfasserIn]
• Verfasst von: Studier-Fischer, Stefan [VerfasserIn]
• Verfasst von: Gühring, Thorsten [VerfasserIn]
• Verfasst von: Schnetzke, Marc [VerfasserIn]
• Titel: More adverse events after osteosyntheses compared to arthroplasty in geriatric proximal humeral fractures involving anatomical neck
• Verf.angabe: Felix Porschke, Julia Bockmeyer, Philip-Christian Nolte, Stefan Studier-Fischer, Thorsten Guehring, Marc Schnetzke
• E-Jahr: 2021
• Jahr: 2 March 2021
• Umfang: 11 S.
• Fussnoten: Gesehen am 15.06.2021
• Titel Quelle: Enthalten in: Journal of Clinical Medicine
• Ort Quelle: Basel : MDPI, 2012
• Jahr Quelle: 2021
• Band/Heft Quelle: 10(2021), 5, Artikel-ID 979, Seite 1-11
• ISSN Quelle: 2077-0383
• DOI: doi:10.3390/jcm10050979
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1760498866

Abstract

The purpose of this study was to compare adverse events and clinical outcomes of geriatric proximal humerus fractures (PHF) involving the anatomical neck (type C according to AO classification) treated with open reduction and internal fixation (ORIF) using locking plate vs. arthroplasty. In this retrospective cohort study, geriatric patients (>64 years) who underwent operative treatment using ORIF or arthroplasty for type C PHFs were included. Complications, revisions and clinical outcomes using Constant Murley Score (CMS) and Disabilities of the Arm, Shoulder and Hand (DASH) Score were assessed and compared between groups. At a mean follow up of 2.7 ± 1.7 years, 59 patients (mean age 75.3 ± 5.5 years) were included. In 31 patients ORIF was performed and 29 patients underwent arthroplasty. Complications and revision surgeries were significantly more frequent after ORIF (32.6% vs. 7.1%, p = 0.023 and 29.0% vs. 7.1%, p = 0.045). In contrast, clinical outcomes showed no significant differences (DASH 39.9 ± 25.7 vs. 39.25 ± 24.5, p = 0.922; CMS 49.7 ± 29.2 vs. 49.4 ± 25.2, p = 0.731). ORIF of type C PHFs in geriatric patients results in significantly more complications and revision surgery when compared to arthroplasty. Therefore, osteosynthesis of geriatric intraarticular fractures of the proximal humerus must be critically evaluated.