TY - JOUR
T1 - Functional outcome after humeral head replacement for acute three- and four-part proximal humeral fractures
AU - Goldman, Robert T.
AU - Koval, Kenneth J.
AU - Cuomo, Frances
AU - Gallagher, Maureen A.
AU - Zuckerman, Joseph D.
PY - 1995
Y1 - 1995
N2 - Twenty-six hemiarthroplasties were performed for acute three- and four-part proximal humerus fractures between March 1986 and December 1991. Postoperative pain, active range of motion, and function were evaluated in 22 patients at a mean follow-up period of 30 months (range 12 to 66 months) with the American Shoulder and Elbow Surgeons evaluation from. Seventy-three percent of patients reported only slight or no pain. Active forward elevation averaged 107°, external rotation averaged 31°, and the average internal rotation was to the second lumbar vertebra. Strength and stability were rarely problematic. Seventy-three percent of patients reported difficulty with at least three of 15 functional tasks tested. Lifting, carrying a weight, and using the hand at or above shoulder level were the most common limitations. This study indicates that hemiarthroplasty for acute three- and four-part fractures generally can be expected to result in painfree shoulders. However, recovery of function and range of motion are much less predictable.
AB - Twenty-six hemiarthroplasties were performed for acute three- and four-part proximal humerus fractures between March 1986 and December 1991. Postoperative pain, active range of motion, and function were evaluated in 22 patients at a mean follow-up period of 30 months (range 12 to 66 months) with the American Shoulder and Elbow Surgeons evaluation from. Seventy-three percent of patients reported only slight or no pain. Active forward elevation averaged 107°, external rotation averaged 31°, and the average internal rotation was to the second lumbar vertebra. Strength and stability were rarely problematic. Seventy-three percent of patients reported difficulty with at least three of 15 functional tasks tested. Lifting, carrying a weight, and using the hand at or above shoulder level were the most common limitations. This study indicates that hemiarthroplasty for acute three- and four-part fractures generally can be expected to result in painfree shoulders. However, recovery of function and range of motion are much less predictable.
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U2 - 10.1016/S1058-2746(05)80059-X
DO - 10.1016/S1058-2746(05)80059-X
M3 - Article
C2 - 7600169
AN - SCOPUS:0029262273
SN - 1058-2746
VL - 4
SP - 81
EP - 86
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
IS - 2
ER -