Outcomes of open reduction and internal fixation of proximal humerus fracture dislocations

2021 ◽  
Author(s):  
Eric M. Padegimas ◽  
Thema A. Nicholson ◽  
Gerard Chang ◽  
Jonah Hebert-Davies ◽  
Surena Namdari
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Fracture Dislocations

scholarly journals Outcomes of Proximal Humerus Fracture Open Reduction Internal Fixation with Concomitant Ipsilateral Shoulder Girdle Injuries: a Case Control Study

2016 ◽  
Vol 12 (2) ◽  
pp. 105-110
Author(s):  
Marschall B. Berkes ◽  
Milton T. M. Little ◽  
Nadine C. Pardee ◽  
Patrick C. Schottel ◽  
Lionel E. Lazaro ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humerus Fracture ◽  
Case Control Study ◽  
Proximal Humerus ◽  
Shoulder Girdle ◽  
Case Control ◽  
Open Reduction Internal Fixation ◽  
Humerus Fracture ◽  
Control Study

scholarly journals Cost-effectiveness of Open Reduction and Internal Fixation Compared With Hemiarthroplasty in the Management of Complex Proximal Humerus Fractures

2018 ◽  
Vol 2 ◽  
pp. 247154921775145
Author(s):  
Robert J Thorsness ◽  
James C Iannuzzi ◽  
Edward J Shields ◽  
Katia Noyes ◽  
Ilya Voloshin
Keyword(s):  
Cost Effectiveness ◽  
Internal Fixation ◽  
Open Reduction ◽  
Retrospective Cohort ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Cost Effective ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

Objectives To determine if open reduction and internal fixation (ORIF) is more cost-effective than hemiarthroplasty (HA) in the management of proximal humerus fracture. Design Retrospective cohort study with cost-effectiveness analysis. Setting Tertiary referral center in Rochester, NY. Patients/participants The records of 459 consecutive patients in whom a proximal humerus fracture was treated surgically at our institution between the years 2002 and 2012 were studied retrospectively. We identified 30 consecutive patients with a mean follow-up of 60.3 months (13.6–134.5 months) of which 15 patients underwent primary ORIF and another 15 underwent primary HA for the management of head-splitting fracture or fracture-dislocation of the proximal humerus. Intervention HA or ORIF for the management of proximal humerus fracture. Main outcome measurements SF-36 scores were converted to utility weights, and a cost-effectiveness model was designed to evaluated ORIF and HA. Results Given the baseline assumptions, ORIF was slightly more costly but also more effective (0.75 quality-adjusted life years [QALY] vs 0.67 QALY) than HA. The incremental cost-effectiveness ratio (ICER) was $5319/QALY for ORIF compared to HA, which is less than the cost-effectiveness standard utilized based on a willingness to pay of $50,000/QALY. Conclusions Compared to HA, ORIF is the more cost-effective approach for the surgical management of complex proximal humerus fractures. These data are limited by patient selection which would impact the relative utility scores. These results suggest that ORIF should be considered the preferable surgical approach given payer and patient perspectives. Level of Evidence: This is a Level III retrospective, cohort therapeutic study.

scholarly journals Fracture Dislocation of Shoulder

2014 ◽  
Vol 3 (2) ◽  
pp. 44-45
Author(s):  
Hemanta Kumar Manandhar ◽  
Pramod Devkota ◽  
Padam Bahadur Khadka ◽  
Chakra Raj Randey
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Shoulder Dislocation ◽  
Open Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Fracture Dislocation ◽  
Good Range

Simultaneous dislocation of shoulder with fracture of the ipsilateral humerus is extremely rare and very little reported in the literature. We report a case of forty three year old man who got right shoulder dislocation with proximal humerus fracture. The patient was treated with open reduction and internal fixation by three 4.5mm screws. The operation went uneventful and has good range of motion of the shoulder after six months of follow up. DOI: http://dx.doi.org/10.3126/noaj.v3i2.9529   NOAJ July-December 2013, Vol 3, Issue 2, 44-45

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