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Comparative analysis of operative treatment of fractures of the proximal humerus using two different surgical techniques.

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Title: Comparative analysis of operative treatment of fractures of the proximal humerus using two different surgical techniques.
Alternate Title: Análisis comparativo del tratamiento operatorio de fracturas del húmero proximal utilizando dos técnicas quirúrgicas diferentes.
Authors: Ninković, Srđan1,2 srdjan.orto@gmail.com, Janjić, Nataša1,2, Vukosav, Nikola1,2, Milinkov, Milan1,2, Dulić, Oliver1,2, Rašović, Predrag1,2
Source: Cirugía y Cirujanos. nov/dec2024, Vol. 92 Issue 6, p702-708. 7p.
Subjects: INTERNAL fixation in fractures, RANGE of motion of joints, BONE screws, BONE plates (Orthopedics), OPERATIVE surgery
Abstract (English): Objective: The purpose of this study was to examine the surgical treatment of two-part and three-part proximal humerus fractures utilizing two approaches. Method: Study involved a total of 40 individuals. Twenty patients were treated with plates and screws and 20 with intramedullary locking nail osteosynthesis. We created 10 pairs of patients that were matched in age, gender, and fracture type, with the sole difference being the osteosynthetic material used. The mean follow-up was 4 years (1-9 years). We evaluated the results of treatment using Constant’s scoring scale. Results: The mean value of Constant’s scoring scale was 78.05 for patients treated with plates and screws and 67.55 for those treated with intramedullary stabilization. There was no statistically significant difference between the groups nor were there statistically significant differences in post-operative range of motion (ROM). Conclusions: The results of Constant’s scoring scale were higher for patients whose fractures were stabilized with a plate and screws. The same group of patients had a higher degree of mobility and better ROM. Even while there was a general tendency toward better outcomes when using plates and screws for fixation, there was no indication as to which surgical technique offers the best results. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: Examinar el tratamiento quirúrgico de fracturas de dos partes y tres partes del húmero proximal utilizando dos enfoques. Método: El estudio involucró un total de 40 pacientes, de los que 20 fueron tratados con placas y tornillos, y los otros 20 con osteosíntesis de clavo bloqueado intramedular. Se hicieron 10 pares de pacientes emparejados por edad, sexo y tipo de fractura, siendo la única diferencia el material de osteosíntesis utilizado. El seguimiento promedio fue de 4 años (rango: 1-9 años). Se evaluaron los resultados del tratamiento utilizando la escala de Constant. Resultados: El valor promedio de la escala de Constant fue de 78.05 para los pacientes tratados con placas y tornillos, y de 67.55 para aquellos tratados con estabilización intramedular. No hubo diferencia estadísticamente significativa entre los grupos, y tampoco hubo diferencias estadísticamente significativas en el rango de movimiento posoperatorio. Conclusiones: Las puntuaciones de la escala de Constant fueron más altas en los pacientes cuyas fracturas se estabilizaron con placa y tornillos. Estos pacientes tuvieron un mayor grado de movilidad y un mejor rango de movimiento. Aunque se observó una tendencia general hacia mejores resultados al usar placas y tornillos para la fijación, no hubo indicación de qué técnica quirúrgica ofrece los mejores resultados. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Objective: The purpose of this study was to examine the surgical treatment of two-part and three-part proximal humerus fractures utilizing two approaches. Method: Study involved a total of 40 individuals. Twenty patients were treated with plates and screws and 20 with intramedullary locking nail osteosynthesis. We created 10 pairs of patients that were matched in age, gender, and fracture type, with the sole difference being the osteosynthetic material used. The mean follow-up was 4 years (1-9 years). We evaluated the results of treatment using Constant’s scoring scale. Results: The mean value of Constant’s scoring scale was 78.05 for patients treated with plates and screws and 67.55 for those treated with intramedullary stabilization. There was no statistically significant difference between the groups nor were there statistically significant differences in post-operative range of motion (ROM). Conclusions: The results of Constant’s scoring scale were higher for patients whose fractures were stabilized with a plate and screws. The same group of patients had a higher degree of mobility and better ROM. Even while there was a general tendency toward better outcomes when using plates and screws for fixation, there was no indication as to which surgical technique offers the best results. [ABSTRACT FROM AUTHOR]
ISSN:00097411
DOI:10.24875/CIRU.23000414