Psychological Health Influences the Choice of Device in Proximal Humeral Fractures
Angle Stable Plate Versus Reverse Shoulder Treatment for Proximal Humeral Fractures: Should the Psychological Health Influence the Choice of Device
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.
研究概览
研究类型
注册 (实际的)
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
---|---|
patients treated by angle stable plate PHILOS
|
Open Reduction and Internal Fixation with angle stable plate PHILOS versus RSA (Reverse Shoulder Arthroplasty
|
patients treated by reverse total shoulder arthroplasty SMR
|
Open Reduction and Internal Fixation with angle stable plate PHILOS versus RSA (Reverse Shoulder Arthroplasty
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Change in Constant's score
大体时间:T0 (one-month), T1 (six months), T2 (one year) post operatively
|
The shoulder functionality was quantified using the Constant's score ranging between 0 (most disability) and 100 points (least disability).
|
T0 (one-month), T1 (six months), T2 (one year) post operatively
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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