Psychological Health Influences the Choice of Device in Proximal Humeral Fractures

Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari63 enrolled

Overview

It was conducted a prospective study with a series of 63 patients treated with O.R.I.F. (Open Reduction and Internal Fixation) (group A) and with RSA (Reverse Shoulder Arthroplasty) (group B) for three and four-part proximal humeral fractures according to Neer classification system. One independent observer performed clinical and a psychological evaluation at one(T0), six(T1) and twelve months(T2) postoperatively. The Constant's score and The Disabilities of the Arm, Shoulder and Hand (DASH score) were used for clinical evaluation, while General Anxiety Disorder-7 (GAD-7) and Caregiver Strain Scale (CSS) were used for psychological evaluation.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Humeral Fracture, Proximal

Interventions

Three and four-part proximal humeral fractures' treatmentPROCEDURE

Open Reduction and Internal Fixation with angle stable plate PHILOS versus RSA (Reverse Shoulder Arthroplasty

Eligibility

Medical Language ↔ Plain English

Inclusion Criteria: * Three and four-part proximal humeral fractures according to Neer classification system; * Patients seventy years or older; * Shoulder surgery within one week after trauma Exclusion Criteria: * Exposed fractures; * Pathological fractures; * Proximal humerus fractures with metaphyseal or diaphyseal extension; * Contraindications to surgery associated with organ dysfunctions or with coagulopathy; * Allergy or hypersensitivity to the orthopedic implants; * Patients who were unable to attend the different follow-ups; * Patients with psychiatric disorders

Outcomes

Primary Outcomes

Change in Constant's score

The shoulder functionality was quantified using the Constant's score ranging between 0 (most disability) and 100 points (least disability).

Time frame: T0 (one-month), T1 (six months), T2 (one year) post operatively