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Master Thesis

Survie et, résultats fonctionnels et radiologiques des prothèses totales d’épaule inversées vs hémiarthroplasties traumatiques avec un recul moyen de 50 mois

Abstract : Background : The aim of the study was, firstly, to compare the functional and radiological outcomes of RSA with HA in elderly patients with acute proximal humeral fractures, secondly to compare the mid-term survival of these two types of arthroplasty. Method : All patients treated by RSA or HA for acute proximal humeral fracture, in primary hospital center were retrospectively identified. The primary endpoint was absolute and weighted Constant-Murley score. We also performed a statistical survival analysis of Kaplan-Meier. Results : Forty nine patients were included in the clinical and radiological analysis and 141 patients were included in the survival analysis. At the final follow-up, the absolute Constant Score was higher in the RSA group, but there was no significant difference between HA and RSA groups, respectively 57.4 ± 21.8 vs 65 ± 17.1 (p = 0.184). However, the weighted Constant score was clinically and statistically significantly better in the RSA group (HA : 81.16 ± 28.9 vs RSA : 108.04 ± 27.6 ; p = 0.001). The estimated mean survival time was 50 ± 6 months in the RSA group and 64 ± 8 months in the HA group. The analysis of the survival curve of Kaplan-Meier did not show any significant difference between the HA and RSA groups (p = 0.11) Conclusion : By using an optimised surgical technique, with implants designed for trauma, RSA can be the first option in the management of complex proximal humeral fractures in patients older than 60.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02350560
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Submitted on : Wednesday, November 6, 2019 - 9:13:54 AM
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  • HAL Id : dumas-02350560, version 1

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Julien Vignes. Survie et, résultats fonctionnels et radiologiques des prothèses totales d’épaule inversées vs hémiarthroplasties traumatiques avec un recul moyen de 50 mois. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02350560⟩

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