Outcome after operative treatment of proximal humeral fractures in elderly patients; [Outcome nach operativer Versorgung von Humeruskopffrakturen beim älteren Menschen]

被引：0
作者：
Muhm M. [1 ,2 ]
Bott J. [3 ]
Lahr C. [1 ]
Winkler H. [1 ,2 ]
Ruffing T. [1 ]
机构：
[1] Department for Trauma and Orthopedic Surgery I, Westpfalz-Klinikum Kaiserslautern, Academic Educational Hospital, Heidelberg University and Mainz University, Hellmut-Hartert-Str. 1, Kaiserslautern
[2] Medical Faculty Mannheim, Heidelberg University, Heidelberg
[3] Department for Trauma and Orthopedic Surgery, Municipal Hospital, Pirmasens
来源：
Zeitschrift für Gerontologie und Geriatrie | 2016年 / 49卷 / 6期
关键词：
Coping with everyday life; Outcome; Proximal humeral fracture; Quality of life; Satisfaction;
D O I：
10.1007/s00391-015-0954-4
中图分类号：
学科分类号：
摘要：
Background: The proximal humeral fracture (PHF) (5 %) of the elderly is the third most common fracture after proximal femoral and distal radius fractures. Proximal femoral fractures often lead to a loss of autonomy. Objectives: The aim of this study is to show how PHF changes the patient’s autonomy and the coping with everyday life as well as which factors influence the outcome 1 year (y) after surgery. Materials and methods: Data of 62 patients with surgical treatment of a PHF ≥ 60 y was prospectively collected. With a telephone interview Short Form (SF) 12 (physical and mental health; PH, MH), Barthel Index (BI), range of motion, pain, and satisfaction was observed after 3 and 12 months. The dependence of outcome on different factors was investigated. Results: The mean age was 73.3 y (median 73, 60–94). Mortality after 3 months was 3 % and after 1 y 11 %. The PH before the injury (47.9) was significantly better than after 3 months (37.1) and after 1 y (42.6). The MH showed no difference. The BI before the injury (92) was significantly better than after 3 months (86), but the same after 1 y (91). After 1 y > 50 % were able to abduct and flex the arm > 90°. More than two-thirds were able to perform everyday life activities for body care and nutrition after 1 y. Approximately, 73 % of the patients had little or no pain, and 84 % were satisfied with the result after 1 y. Good score values before the fracture resulted in better outcome. Higher severity in fracture led to a higher level of pain. Discussion: A surgically treated PHF in the elderly does not lead to a relevant impairment in quality of life. Despite the lack of complete retrieval of range of motion patients achieve a good to very good result in coping with everyday life. © 2015, Springer-Verlag Berlin Heidelberg.
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页码：505 / 511
页数：6
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