Article
Orthopedics
Abhishek Ganta, Sara Solasz, Jack Drake, Connor Littlefield, Sanjit Konda, Kenneth Egol
Summary: The study aimed to determine the effects of energy mechanism on outcomes following repair of proximal humerus fractures in the middle aged and geriatric population. The results showed that energy mechanism does not significantly impact the outcomes of operatively treated proximal humerus fractures.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Critical Care Medicine
Kyle J. Klahs, Kelly V. V. Fitzpatrick, James A. Blair, Nata Parnes, Leon J. Nesti, John C. Dunn
Summary: This study found a 37% decrease in operatively treated proximal humerus fractures among ABOS candidates between 2010 and 2020, with a trend towards open reduction internal fixation over arthroplasty. Subspecialty trained surgeons showed variations in the use of arthroplasty, and the Southeast region was less likely to perform arthroplasty compared to other regions.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Orthopedics
Jeffrey A. O'Donnell, Mark J. Gage
Summary: Treatment decisions for proximal humerus fractures can be complex, requiring a thorough evaluation of the patient's anticipated activity level and fracture characteristics to ensure alignment with individual goals. Geriatric proximal humerus fractures are treated based on these factors and the surgeon's technical expertise.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Orthopedics
Filip Cosic, Nathan Kirzner, Elton Edwards, Richard Page, Lara Kimmel, Belinda Gabbe
Summary: This study aimed to report the long-term outcomes of the management of translated proximal humerus fractures. A prospective cohort study was conducted, including 108 patients with a proximal humerus fracture with ≥100% translation. The results showed that surgical treatment improved patients' health status and radiological outcomes.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Review
Medicine, General & Internal
Hayden P. Baker, Joseph Gutbrod, Jason A. Strelzow, Nicholas H. Maassen, Lewis Shi
Summary: Proximal humerus fractures, the third most common fracture type in adults, have diverse approaches to classification and treatment, with optimal treatments still under debate. This review summarizes current and historical treatment modalities for proximal humerus fractures, providing updates on advancements and trends in epidemiology, classification, and both operative and nonoperative treatments.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Engineering, Biomedical
L. Hug, G. Dahan, S. Kollmannsberger, E. Rank, Z. Yosibash
Summary: A variation of the phase field method embedded into the finite cell method is proposed to simulate impacted humeral fractures in fresh frozen human humeri. The method is validated by comparing the force-strain response, failure loads, and fracture path with experimental observations. The results show good agreement and accurately predict the compressive failure pattern and force-strain relationship in proximal humerus fractures.
JOURNAL OF THE MECHANICAL BEHAVIOR OF BIOMEDICAL MATERIALS
(2022)
Article
Multidisciplinary Sciences
Chien-Tien Chen, Su-Ju Lin, Liang-Tseng Kuo, Tien-Hsing Chen, Wei-Hsiu Hsu, Chi-Lung Chen, Pei-An Yu, Kuo-Ti Peng, Yao-Hung Tsai
Summary: This study found that diabetic patients undergoing proximal humerus fracture fixation surgery with chronic kidney disease (CKD) had a higher risk of infection, revision, readmission, and mortality compared to those without CKD. Additionally, CKD patients were at even higher risk of surgical infection after the surgery in specific scenarios such as traffic accidents or fewer comorbidities.
Article
Orthopedics
Chi Him Tong, Christian Xinshuo Fang
Summary: This study compared the outcomes of reverse total shoulder arthroplasty (rTSA) and open reduction internal fixation (ORIF) in treating complex proximal humerus fractures. It found that rTSA had a better outcome at 2 years and could be a promising treatment option for geriatric patients.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Dermatology
Ming Li, Guang-chen Sun, Jun Cui, Qi-liang Lou
Summary: This study aimed to explore the risk factors for surgical site infection (SSI) after internal fixation in patients with closed proximal humerus fractures. The results showed that high BMI, smoking, an increase in mean time from injury to definitive surgery, and prolonged surgical time were independent risk factors for the development of SSI in patients with closed proximal humerus fractures.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Medicine, General & Internal
Nina D. Fisher, Adam Driesman, Hesham Saleh, Kenneth A. Egol, Sanjit R. Konda
Summary: A simple scoring system based on preoperative data can accurately predict functional outcomes for patients undergoing surgical management of proximal humerus fractures. This scoring system can help identify patients at high risk and guide resource utilization while improving outcomes.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Orthopedics
Ming Foo Kenneth Nah, Michelle Jessica Pereira, Mani Hemaavathi, Shiyun Winnie Wong, Chien Joo Lim, Bryan Yijia Tan
Summary: This study aimed to investigate the impact of rehabilitation compliance on clinical outcomes for non-surgically managed PHFs and identify ways to improve compliance. The results showed a strong correlation between rehabilitation compliance and short-term clinical outcomes, with pain being the main reason for non-compliance.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Blake Boadi, Rebekah Belayneh, Connor P. Littlefield, Kenneth A. Egol
Summary: The study aimed to evaluate the impact of obesity on the outcome of operatively treated proximal humerus fractures. The results showed that obesity is associated with more severe fracture patterns, but there were no significant differences between obese and non-obese patients in terms of functional and clinical outcomes as well as complication rates.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Medicine, General & Internal
Annika Haettich, Tim Jodokus Harloff, Hatice Sari, Carsten Schlickewei, Christopher Cramer, Andre Strahl, Karl-Heinz Frosch, Konrad Mader, Till Orla Klatte
Summary: This study aimed to investigate the influence of fracture reduction after intramedullary nailing of proximal humeral fractures on the clinical outcome. The results showed that anatomical reduction had a positive effect on postoperative scores, but the differences compared to the malreduction group were not statistically significant.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Orthopedics
G-Yves Laflamme, Philippe Moisan, Julien Chapleau, Julien Goulet, Stephane Leduc, Benoit Benoit, Dominique M. Rouleau
Summary: This study investigates novel technical factors associated with mechanical failures and complications in proximal humerus fracture fixation. The importance of reduction and calcar support in PHF fixation is critical, with attention needed to avoid varus reduction, maximize medial support, avoid screws longer than 45 mm in the proximal rows, and restore the humeral offset within 6 mm or less.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Clinical Neurology
Ram Alluri, Gabriel Bouz, Samantha Solaru, Hyunwoo Kang, Jeffrey Wang, Raymond J. Hah
Summary: This study found a significant increase in the proportion of operative treatment for geriatric odontoid fractures from 46% in 2003 to 86% in 2017. Patients undergoing operative treatment had a higher incidence of complications, inpatient mortality, and higher average treatment costs compared to nonoperative treatment.