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Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures?

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Author(s)
Beom-Soo KimDu-Han KimJung-Hoon ChoiByung-Chan ChoiChul-Hyun Cho
Keimyung Author(s)
Kim, Beom SooKim, Du HanCho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Medicina (Kaunas)
Issued Date
2022
Volume
58
Issue
3
Keyword
shoulderproximal humerus fracturelocking platedevice removal
Abstract
Background and Objectives:
The aim of this study was to evaluate whether device removal in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture improves the clinical outcomes.

Materials and Methods:
Seventy-one patients who underwent fixed-angle locking plate osteosynthesis of a proximal humerus fracture were included. Thirty-three patients underwent device removal at a mean time of 10.4 months after index surgery (removal group). Thirty-eight patients who retained the device after index surgery (retention group) were included in the control group. Visual analog scale (VAS) pain score, University of California at Los Angeles (UCLA) score, American Shoulder and Elbow Surgeons (ASES) score, and range of motion (ROM) were evaluated pre- and postoperatively.

Results:
At the final follow-up, mean UCLA score, ASES score, and all ROMs were significantly higher in the removal group compared to the retention group (p < 0.001). However, no significant difference in mean VAS pain score was observed between the two groups. Comparison of the clinical outcomes before and after device removal surgery showed significant improvement in all clinical scores and ROMs after device removal (p < 0.001).

Conclusions:
Device removal surgery in symptomatic patients following locking plate osteosynthesis of a proximal humerus fracture can result in significant improvement in functional outcomes.
Keimyung Author(s)(Kor)
김범수
김두한
조철현
Publisher
School of Medicine (의과대학)
Citation
Beom-Soo Kim et al. (2022). Is Device Removal Necessary after Fixed-Angle Locking Plate Osteosynthesis of Proximal Humerus Fractures? Medicina (Kaunas), 58(3), 382. doi: 10.3390/medicina58030382
Type
Article
ISSN
1648-9144
Source
https://www.mdpi.com/1648-9144/58/3/382
DOI
10.3390/medicina58030382
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44281
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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