Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 2,
217-219.
doi: 10.1302/0301-620X.86B2.14553
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
Outcome after primary hemiarthroplasty for fracture of the head of the humerus
A RETROSPECTIVE MULTICENTRE STUDY OF 167 PATIENTS
F. Kralinger, MD, Trauma Surgeon1;
R. Schwaiger, MD, Trauma Surgeon2;
M. Wambacher, MD, Trauma Surgeon3;
E. Farrell, MD, AO-Fellowship Europe, Orthopaedic Surgeon4;
W. Menth-Chiari, MD, Trauma Surgeon5;
G. Lajtai, MD, Trauma Surgeon6;
C. Hübner, MD, Trauma Surgeon2; and
H. Resch, MD, Professor, Trauma Surgeon2
1 Universitätsklinik für Unfallchirurgie, Anichstrasse 35, A-6020 Innsbruck, Austria.
2 LKH Salzburg, Müllner Haupt-strasse 48, A-5020 Salzburg, Austria.
3 Department of Trauma and Sport Traumatology, University of Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria.
4 854 Pueblo Drive, Franklin Lakes, New Jersey 07417, USA.
5 Department of Traumatology, University of Vienna Medical School, AKH Wien, Währinger Gürtel 18-20, A-1090 Wien, Austria.
6 Altis-Center for Sportsurgery, Moorweg 30, A-9330 Althofen, Austria.
Correspondence should be sent to Dr F. Kralinger.
We have examined 167 patients who had a hemiarthroplasty for three- and four-part fractures and fracture-dislocations of the head of the humerus in a multicentre study involving 12 Austrian hospitals. All patients were followed for more than a year.
Anatomical healing of the tuberosity significantly influenced the outcome as measured by the Constant score and subjective patient satisfaction. With regard to pain, the outcome was generally satisfactory but only 41.9% of patients were able to flex the shoulder above 90°. The age of the patient and the type of prosthesis significantly influenced the healing of the tuberosity, but bone grafting did not. Achievement of healing of the tuberosity was inferior in institutions at which less than 15 hemiarthroplasties had been performed (Mann-Witney U test, p = 0.0001).
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