Shoulder function after humeral head arthroplasty for complex fracture of humerus: 1 year of follow-up

doi:10.3969/j.issn.2095-4344.0343

Abstract

Abstract:

BACKGROUND: The surgical methods and treatment criteria for proximal humeral fractures remain controversial. The postoperative recovery of shoulder function is affected by various factors.

OBJECTIVE: To explore the factors for the functional recovery of shoulder joint after humeral head arthroplasty for proximal humeral fractures.

METHODS: Fifty-three cases of proximal humeral fractures admitted in Affiliated Hospital of Chengde Medical University from May 2012 to April 2017 were included, and all patients underwent humeral head arthroplasty. The shoulder joint function was evaluated at 1 year postoperatively. Logistic regression analysis was carried out on the related factors such as sex, age, type of fracture, degree of osteoporosis, injury to operation time, surgical approach, position of the prosthesis, the healing of greater and lesser tuberosities of humers, adminstration of osteoporosis drugs, and the time of beginning functional exercise.

RESULTS AND CONCLUSION: (1) After 1 year of follow-up, Logistic regression analysis showed that the factors affecting the functional recovery of the shoulder joint after arthroplasty were the degree of osteoporosis, surgical approach, position of the prosthesis, the healing of greater and lesser tuberosities of humerus, and the administration of osteoporotic drugs. (2) To conclude, the position of the prosthesis is a controllable factor, so an appropriate position should be chosen as far as possible. Preoperative assessment of the degree of osteoporosis is necessary, and the use of anti-osteoporotic drugs postoperatively contributes to the functional recovery. Additionally, the healing of greater and lesser tuberosities of humers is helpful to the functional recovery of the rotator cuff.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Arthroplasty, Replacement, Humeral Fractures, Factor Analysis, Statistical, Tissue Engineering

CLC Number:

R318

Dai Hai-feng, Chang Qian-kun, Chen Yong-liang, Li Jia, Xu Cong, Lü Yong-ming. Shoulder function after humeral head arthroplasty for complex fracture of humerus: 1 year of follow-up[J]. Chinese Journal of Tissue Engineering Research, 2018, 22(27): 4300-4304.

Figures/Tables 3

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