Functional outcome after proximal humerus fracture fixation : understanding the risk factors / Anthony Christiano in Acta Orthopaedica Belgica, Vol.83/1 (Mars 2017)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 1-7 Titre : Functional outcome after proximal humerus fracture fixation : understanding the risk factors Type de document : texte imprimé Auteurs : Anthony Christiano, Auteur ; Christian Pean, Auteur Année de publication : 2017 Article en page(s) : p. 1-7 Langues : Anglais (eng) Résumé : The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data registry. Patients were evaluated for function using the Disability of the Arm, Shoulder and Hand score for 12 months and as available beyond 12 months. Univariate analyses were conducted to identify variables associated with functional outcome. Significant variables were included in a multivariate regression predicting functional outcome. Demographics and minimum of 12 month follow-up were available for 129 patients (75%). Multiple regression demonstrated postoperative complication (B=8.515 p=0.045), education level (B=-6.269p<0.0005), age (B=0.241p=0.049) and Charlson Comorbidity Index (B=6.578, p=0.001) were all significant predictors of func-tional outcome. Orthopaedic surgeons can use education level, comorbidities, age, and postoperative complication information to screen patients for worse outcomes, establish expectations, and guide care. Permalink : ./index.php?lvl=notice_display&id=92962 [article] Functional outcome after proximal humerus fracture fixation : understanding the risk factors [texte imprimé] / Anthony Christiano, Auteur ; Christian Pean, Auteur . - 2017 . - p. 1-7. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.83/1 (Mars 2017) . - p. 1-7 Résumé : The purpose is to identify risk factors of functional outcome following proximal humerus open reduction and internal fixation. Patients treated for proximal humerus fractures with open reduction and internal fixation were enrolled in a prospective data registry. Patients were evaluated for function using the Disability of the Arm, Shoulder and Hand score for 12 months and as available beyond 12 months. Univariate analyses were conducted to identify variables associated with functional outcome. Significant variables were included in a multivariate regression predicting functional outcome. Demographics and minimum of 12 month follow-up were available for 129 patients (75%). Multiple regression demonstrated postoperative complication (B=8.515 p=0.045), education level (B=-6.269p<0.0005), age (B=0.241p=0.049) and Charlson Comorbidity Index (B=6.578, p=0.001) were all significant predictors of func-tional outcome. Orthopaedic surgeons can use education level, comorbidities, age, and postoperative complication information to screen patients for worse outcomes, establish expectations, and guide care. Permalink : ./index.php?lvl=notice_display&id=92962

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