Assessment of Complication Risk in the Treatment of Proximal Humerus Fractures: A Retrospective Analysis of 4019 Patients
| Title: | Assessment of Complication Risk in the Treatment of Proximal Humerus Fractures: A Retrospective Analysis of 4019 Patients |
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| Authors: | Ralf Henkelmann; Pierre Hepp; Bastian Mester; Marcel Dudda; Philipp-Johannes Braun; Sebastian Kleen; Johannes Zellner; Michael Galler; Matthias Koenigshausen; Thomas A. Schildhauer; Tim Saier; Inga Trulson; Rony-Orijit Dey Hazra; Helmut Lill; Richard Glaab; Basil Bolt; Marcus Wagner; Michael J. Raschke; Jan Christoph Katthagen |
| Source: | Journal of Clinical Medicine, Vol 12, Iss 5, p 1844 (2023) |
| Publisher Information: | MDPI AG |
| Publication Year: | 2023 |
| Collection: | Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: | proximal humeral fracture; complication; operative treatment; nonoperative treatment; risk analysis; Medicine |
| Description: | (1) Background: The treatment of proximal humeral fractures (PHFs) is debated controversially. Current clinical knowledge is mainly based on small single-center cohorts. The goal of this study was to evaluate the predictability of risk factors for complications after the treatment of a PHF in a large clinical cohort in a multicentric setting. (2) Methods: Clinical data of 4019 patients with PHFs were retrospectively collected from 9 participating hospitals. Risk factors for local complications of the affected shoulder were assessed using bi- and multivariate analyses. (3) Results: Fracture complexity with n = 3 or more fragments, cigarette smoking, age over 65 years, and female sex were identified as predictable individual risk factors for local complications after surgical therapy as well as the combination of female sex and smoking and the combination of age 65 years or older and ASA class 2 or higher. (4) Conclusion: Humeral head preserving reconstructive surgical therapy should critically be evaluated for patients with the risk factors abovementioned. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | https://www.mdpi.com/2077-0383/12/5/1844; https://doaj.org/toc/2077-0383; https://doaj.org/article/cc0bb995b25245af87231a68ce487288 |
| DOI: | 10.3390/jcm12051844 |
| Availability: | https://doi.org/10.3390/jcm12051844; https://doaj.org/article/cc0bb995b25245af87231a68ce487288 |
| Accession Number: | edsbas.2B13B8CD |
| Database: | BASE |