Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures
OBJECTIVE: To evaluate the relationship between incidence of complications and clinico-functional outcomes, after fractures of the proximal humerus treated with locking plates.MATERIAL AND METHODS: Our study reviewed 47 patients who underwent internal fixation with plate for a period of 5 years. We...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/21630 |
| Aporte de: |
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I10-R327-article-21630 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
fracturas del húmero fracturas osteoporóticas fijación interna de fracturas complicaciones posoperatorias resultado del tratamiento análisis espacio-temporal humeral fractures osteoporotic fractures fracture fixation internal postoperative complications treatment outcome spatio-temporal analysis |
| spellingShingle |
fracturas del húmero fracturas osteoporóticas fijación interna de fracturas complicaciones posoperatorias resultado del tratamiento análisis espacio-temporal humeral fractures osteoporotic fractures fracture fixation internal postoperative complications treatment outcome spatio-temporal analysis Hernández Fernández, Alberto Roche Albero, Adrián Gómez Blasco, Andrés Manuel Martín Hernández, Carlos Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| topic_facet |
fracturas del húmero fracturas osteoporóticas fijación interna de fracturas complicaciones posoperatorias resultado del tratamiento análisis espacio-temporal humeral fractures osteoporotic fractures fracture fixation internal postoperative complications treatment outcome spatio-temporal analysis |
| author |
Hernández Fernández, Alberto Roche Albero, Adrián Gómez Blasco, Andrés Manuel Martín Hernández, Carlos |
| author_facet |
Hernández Fernández, Alberto Roche Albero, Adrián Gómez Blasco, Andrés Manuel Martín Hernández, Carlos |
| author_sort |
Hernández Fernández, Alberto |
| title |
Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| title_short |
Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| title_full |
Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| title_fullStr |
Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| title_full_unstemmed |
Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| title_sort |
quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures |
| description |
OBJECTIVE: To evaluate the relationship between incidence of complications and clinico-functional outcomes, after fractures of the proximal humerus treated with locking plates.MATERIAL AND METHODS: Our study reviewed 47 patients who underwent internal fixation with plate for a period of 5 years. We present the clinico-functional outcomes with Constant-Murley and Quick-Dash scores, and cinematic analysis. Statistical analysis of the relationship complication-functional results and new surgery-functional results.RESULTS: At the end of the follow-up period, a total of 47 patients were recollected and the mean age was 74,85 years. 11 patients (23,4%) had complications, of whom 6 patients (12,7%) needed a new surgery. The complication rate is associated with loss of 65,41º of flexion, 14,49º of extension, 36,71º of abduction, 8,84º of aduction, 5,47º of external rotation and 30,82º of internal rotation. Furthermore, we found statistically significant differences between the incidence of complications and Constant-Murley and Quick Dash scores.CONCLUSION: There is a high percentage of patients who developes complications after ORIF with and its functionality is significantly reduced. Our study accurately quantifies this loss and, in this way, it predicts the functional situation, according to the possible complicactions that may arise. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/21630 |
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I10-R327-article-216302024-08-27T18:23:51Z Quantitative assessment of the loss of functionality associated with the appearance of complications in osteosynthesis of proximal humerus fractures Valoración cuantitativa de la pérdida de funcionalidad asociada a la aparición de complicaciones en osteosíntesis de fracturas de húmero proximal Hernández Fernández, Alberto Roche Albero, Adrián Gómez Blasco, Andrés Manuel Martín Hernández, Carlos fracturas del húmero fracturas osteoporóticas fijación interna de fracturas complicaciones posoperatorias resultado del tratamiento análisis espacio-temporal humeral fractures osteoporotic fractures fracture fixation internal postoperative complications treatment outcome spatio-temporal analysis OBJECTIVE: To evaluate the relationship between incidence of complications and clinico-functional outcomes, after fractures of the proximal humerus treated with locking plates.MATERIAL AND METHODS: Our study reviewed 47 patients who underwent internal fixation with plate for a period of 5 years. We present the clinico-functional outcomes with Constant-Murley and Quick-Dash scores, and cinematic analysis. Statistical analysis of the relationship complication-functional results and new surgery-functional results.RESULTS: At the end of the follow-up period, a total of 47 patients were recollected and the mean age was 74,85 years. 11 patients (23,4%) had complications, of whom 6 patients (12,7%) needed a new surgery. The complication rate is associated with loss of 65,41º of flexion, 14,49º of extension, 36,71º of abduction, 8,84º of aduction, 5,47º of external rotation and 30,82º of internal rotation. Furthermore, we found statistically significant differences between the incidence of complications and Constant-Murley and Quick Dash scores.CONCLUSION: There is a high percentage of patients who developes complications after ORIF with and its functionality is significantly reduced. Our study accurately quantifies this loss and, in this way, it predicts the functional situation, according to the possible complicactions that may arise. OBJETIVO: Evaluar la relación entre la incidencia de complicaciones y los resultados clínico-funcionales, tras el tratamiento de las fracturas de húmero proximal mediante osteosíntesis con placa bloqueada.MATERIAL Y MÉTODO: Nuestro estudio revisa 47 pacientes intervenidos mediante osteosíntesis con placa en un periodo de 5 años. Presentamos los resultados clínico-funcionales con las escalas de Constant-Murley y Quick Dash, y con un análisis cinemático. Análisis estadístico de las relaciones complicación-resultados funcionales y reintervención-resultados funcionales.RESULTADOS: Al final del seguimiento, fueron recogidos un total de 47 pacientes, con una edad media de 74,85 años. 11 pacientes (23,4%) tuvieron complicaciones, de los cuales 6 pacientes (12,7%) precisaron ser reintervenidos. La aparición de complicaciones se asoció a una pérdida de 65,41º de flexión, 14,49º de extensión, 36,71º de abducción, 8,84º de aducción, 5,47º de rotación externa y 30,82º de rotación interna. Además, se encontró relación estadísticamente significativa entre el desarrollo de complicaciones y las escalas Constant-Murley y Quick Dash.CONCLUSIÓN: Existe un porcentaje elevado de pacientes que desarrollan complicaciones tras RAFI con placa, los cuales ven disminuida su funcionalidad de forma notable. Nuestro estudio cuantifica de forma exacta ésta pérdida y, de esta manera, predice la situación funcional, según las eventuales complicaciones que puedan aparecer. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-02-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/21630 10.31053/1853.0605.v76.n1.21630 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 1 (2019); 19-25 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 1 (2019); 19-25 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 1 (2019); 19-25 1853-0605 0014-6722 10.31053/1853.0605.v76.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/21630/23217 https://revistas.unc.edu.ar/index.php/med/article/view/21630/23235 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |