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The Archives of Bone and Joint Surgery، جلد ۵، شماره ۴، صفحات ۲۱۳-۲۲۰

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عنوان انگلیسی Early Versus Late Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: Does It Matter?
چکیده انگلیسی مقاله Background: This study compared the outcomes between patients with proximal humerus fractures (PHF) whounderwent acute reverse total shoulder arthroplasty (RSA) to those who underwent an alternative initial treatmentbefore requiring (secondary) RSA.Methods: Patients who underwent RSA after suffering a PHF were identified. Two year clinical follow-up was requiredfor inclusion. Patients were divided into an acute group (RSA secondary RSA group was subdivided by initial treatment (non-operative, hemiarthroplasty, open reduction internalfixation (ORIF)). Clinical and radiographic outcomes were compared.Results: Forty-seven patients met inclusion criteria with 15 in the acute RSA group and 32 in the secondary RSA group.The acute RSA group demonstrated better external rotation (28˚) than the secondary RSA group (18˚, P=0.0495). Theacute RSA group showed a trend towards better Single Assessment Numeric Evaluation (SANE) scores. Tuberosityhealing rate was higher in the acute RSA group.Conclusion: While acute and secondary RSA can yield successful outcomes, acute RSA results in a higher tuberosityhealing rate and improved external rotation.
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نویسندگان مقاله آدم seidl | adam seidl
department of orthopedics, the university of colorado, aurora, usa the rothman institute, thomas jefferson university, philadelphia, usa


دانیال sholder | daniel sholder
the rothman institute, thomas jefferson university, philadelphia, usa


ویلیام warrender | william warrender
the rothman institute, thomas jefferson university, philadelphia, usa


میکاییل livesey | michael livesey
the rothman institute, thomas jefferson university, philadelphia, usa


gerald ویلیامز jr | gerald williams jr
the rothman institute, thomas jefferson university, philadelphia, usa


یوسف abboud | joseph abboud
the rothman institute, thomas jefferson university, philadelphia, usa


سورنا نامداری | surena namdari
the rothman institute, thomas jefferson university, philadelphia, usa



نشانی اینترنتی http://abjs.mums.ac.ir/article_8731.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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