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 : 2023-07-17 eCollection 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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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发生率与 Neer 和 Hertel 分类的相关性。

目的根据Neer和Hertel等人的分类方法，预测经手术治疗的肱骨近端骨折患者在随访至少一年后发生骨坏死（ON）的风险：这是一项回顾性、横断面和观察性队列研究。共有 44 名患者参与了这项研究，其中男性 16 人（36.36%），女性 28 人（63.63%），平均年龄 61.36 岁。根据 Neer 和 Hertel 的分类，并考虑到 ON 的术前预后，对病变进行了分类。随访至少一年后，对患者进行重新评估。数据使用 IBM SPSS Statistics® 进行评估：结果：共有三名患者（6.8%）出现骨坏死。比较结果显示，两者在统计学上无显著差异，但我们观察到，Hertel分类法与骨坏死的关联性优于Neer分类法：结论：两种分类方法在识别骨坏死低风险患者方面表现出相似的能力。具有更多参与者和样本同质性的新研究可能会加强对所研究分类的临床适用性和预测能力的评估价值，并具有更大的意义和相关性。证据等级 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.