Gómez-Blasco AM, Hernández-Fernández A, Roche-Albero A, Martín-Hernández C. Results measured by means of a motion capture system in proximal humerus fractures treated by osteosynthesis with locking plate.
Rev Esp Cir Ortop Traumatol (Engl Ed) 2019;
63:268-274. [PMID:
31014932 DOI:
10.1016/j.recot.2019.03.002]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 12/16/2018] [Accepted: 03/10/2019] [Indexed: 10/27/2022] Open
Abstract
OBJECTIVE
To evaluate the results after locking plate internal fixation of proximal humerus fractures by means of a motion capture system, and functional scales.
MATERIAL AND METHOD
Retrospective study of a cohort of 47 elderly patients undergoing surgery from January 2010 to December 2014. After a minimum follow-up of two years, two functional scales (Constant-Murley and Quick DASH), and a quality of life scale (EQ-5D) were used for clinical evaluation. For objective evaluation of the range of motion a kinematic marker-free analysis with cameras was performed.
RESULTS
The average age was 74.85 years. Average functional scores were: Constant-Murley 70.06 points, Quick DASH 35.74 points and EQ-5D 6.79 points. The average range of motion was: flexion, 111.49°; extension: 24.13°; abduction: 109.40°; adduction: 15.13°; external rotation: 38.96°, and internal rotation: 49.28°. Correlation was found between the two functional scales, between them and the EQ-5D, and between range of motion and functional scales (except for external rotation) as well as between range of motion and EQ-5D (except for flexion and external rotation).
CONCLUSION
Locking plate osteosynthesis in proximal humerus fragility fractures achieved good functional and quality of life scores. Motion capture systems can be a useful tool for the functional assessment of shoulder pathology allowing an objective evaluation of range of motion.
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