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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2003 December;54(6):413-20

language: Italian

Shoulder prosthesis in 3-4 fragment fractures. Rehabilitative approach and short-term evaluation

Villani C., Persiani P., De Natale L., Tarquini M., Chiozzi F.

1° Divisione Dipartimento di Scienze dell’Apparato Locomotore “La Sapienza”, Roma Universita’ degli Studi di Roma


Aim. The aim of this paper is to review the personal case series on shoulder joint prosthesis for 3-4 fragment fractures.
Methods.The authors evaluated 11 female and 9 male patients operated on for arthroplasty of shoulder fractured into 3-4 fragments observed from January 2000 to December 2002 in the 1st division of the “Apparato Locomotore Science Department” at University of Rome “La Sapienza”. After intervention, all the patients were submitted immediately to a rehabilitation program, which took each patient's individual variables into account. The patients were monitored after the intervention with radiographic and clinical controls for 15 to 45 days, 3 to 6 months, then annually to monitor how the recovery of the limb was progressing and the state of the prothesis. For clinical evaluation, the results were compared objectively against the UCLA shoulder rating and the Constant Murley score.
Results. The results obtained from the questionnaires showed that on the UCLA rating: 2 patients were excellent (10%); 7 good (35%); 8 fair (40%) and 3 poor. UCLA presented an average of 26 which corresponds to a fair result with a range from 17 to 34. The Constant Murley questionnaire showed that: 2 patients were excellent (10%); 6 good (30%); 4 fair (20%) and 8 poor (40%).
Conclusions.The results taken from this study allow us to affirm that as well as corrective clinical surgery, the articular recuperation of the shoulders, and post-surgical rehabilitation are fundamentally important.

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