Improved Outcomes for Proximal Humerus Fracture Open Reduction Internal Fixation Augmented with a Fibular Allograft in Elderly Patients: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Suhas P. Dasari ◽  
Benjamin Kerzner ◽  
Luc M. Fortier ◽  
Parker M. Rea ◽  
Blake M. Bodendorfer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Elderly Patients ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Meta Analysis ◽  
Open Reduction Internal Fixation ◽  
Humerus Fracture ◽  
Improved Outcomes

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 Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Wei Zhao ◽  
Yuhui Zhang ◽  
Dongni Johansson ◽  
Xingyu Chen ◽  
Fang Zheng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Humeral Fracture ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Humeral Fracture ◽  
Open Reduction Internal Fixation ◽  
Elder Patients

Objective. The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Method. PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration’s Review Manage 5.2. Results. A total of 630 patients from 8 publications were included in the systematic review and meta-analysis. The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. Concerning complications, no significant difference was seen between MIPO and ORIF. Conclusion. The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients.

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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