CORRELATION OF OSTEONECROSIS RATES IN THE SURGICAL TREATMENT OF PROXIMAL HUMERAL FRACTURES ACCORDING TO THE NEER AND HERTEL CLASSIFICATIONS.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-01-01 DOI:10.1590/1413-785220233103e268183

Fabio Fabian Buscariolo, Igor Arthur Costa Parron, Elzir Finizola Costa, Marcos Vinicius Felix Santana, Eduardo Misao Nishimura, Eiffel Tsuyoshi Dobashi

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引用次数: 0

Abstract

Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up.

Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel's classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics^®.

Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer.

Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation. Level of Evidence III, Case Control Study.

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肱骨近端骨折手术治疗中骨坏死率的相关性分析。

目的:根据Neer和Hertel等人的分类，在至少一年的随访后，预测手术治疗肱骨近端骨折发生骨坏死(ON)的风险。方法:这是一项回顾性、横断面和观察性队列研究。共纳入44例患者，其中男性16例(36.36%)，女性28例(63.63%)，平均年龄61.36岁。考虑ON的术前预后，根据Neer和Hertel分类对病变进行分类。在至少一年的随访后，对患者进行重新评估。使用IBM SPSS Statistics®对数据进行评估。结果:3例(6.8%)发生骨坏死。比较显示没有统计学上的显著差异，但我们观察到Hertel分类中骨坏死的相关性优于Neer分类。结论:两种分类显示出相似的识别低风险ON患者的能力。参与人数较多、样本同质性较好的新研究可能会强化所研究分类的临床适用性和预测能力评价的价值，具有更大的显著性和相关性。证据水平III，病例对照研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.

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