دورية أكاديمية
Proximal humerus open reduction internal fixation with and without biceps tenodesis: assessment of early clinical outcomes
| العنوان: | Proximal humerus open reduction internal fixation with and without biceps tenodesis: assessment of early clinical outcomes |
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| المؤلفون: | Michael A. Stone, MD, Harin Parikh, MD, Lukas Foster, MD, Adam Wright-Chisem, MD, Brett Ewing, MS, Amir H. Karimi, BS, Joshua Langberg, BS |
| المصدر: | JSES International, Vol 8, Iss 4, Pp 751-755 (2024) |
| بيانات النشر: | Elsevier, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Orthopedic surgery LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: | Biceps tenodesis, Open reduction internal fixation, Proximal humerus, Fracture, PROMIS scores, Outcomes, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: | Background: The role of biceps tenodesis (BT) during open reduction internal fixation (ORIF) of proximal humerus fractures (PHFs) remains unclear. A subset of patients undergoing ORIF have persistent pain with unclear etiology. The purpose of our study was to compare outcomes of ORIF of PHFs with and without concomitant BT. We hypothesize patients undergoing BT at the time of ORIF will have improved patient-reported outcome scores with fewer secondary procedures related to treatment of the biceps. Methods: In this retrospective cohort study, all patients undergoing ORIF for a PHF at a single level one trauma center from January 2019 to June 2022 were reviewed. Patients under the age of 18 were excluded. Primary outcomes were patient-reported outcomes measurement information system physical function, depression, and pain interference scores at 5 time points up to final follow-up. Secondary outcomes included total operative time, complications, subsequent procedures, steroid injections, and range of motion. Chi-square tests were performed for categorical values and paired t-tests for continuous variables. Results: 71 patients met inclusion criteria: 41 undergoing ORIF without BT and 30 undergoing ORIF with BT. Average follow-up was 11 months. There were no statistically significant differences in patient demographics between groups. There were no differences in patient-reported outcomes measurement information system scores at any time point postoperatively. At final follow-up patients in the ORIF with BT group had higher forward flexion than those who did not undergo BT (142 vs. 123 degrees, respectively, P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2666-6383 |
| العلاقة: | http://www.sciencedirect.com/science/article/pii/S2666638324000896Test; https://doaj.org/toc/2666-6383Test |
| DOI: | 10.1016/j.jseint.2024.03.014 |
| الوصول الحر: | https://doaj.org/article/92e2059350fe4e52ba1b124c34d6e858Test |
| رقم الانضمام: | edsdoj.92e2059350fe4e52ba1b124c34d6e858 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 26666383 |
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| DOI: | 10.1016/j.jseint.2024.03.014 |