title: Health status as an important outcome factor after hemiarthroplasty.
abstract: The goal of this study was to determine functional results of hemiarthroplasty for 3- and 4-part proximal humeral fractures in elderly patients and to analyze factors affecting the outcome. Thirty-eight consecutive shoulders were treated with hemiarthroplasty after proximal humeral fracture. Two groups of patients with different health status were classified. Group I consisted of patients with 2 or less comorbidities and a maximum of 2 medications at the time of injury. Patients in group II had 3 or more comorbidities with a minimum of 3 medications at the time of injury. The mean of the absolute Constant score in group I was 41, compared to 27 in group II (P < .05). Furthermore, compliance of the patient and regular physiotherapy proved to be important prognostic factors. If primary hemiarthroplasty is not likely to be successful with a low functional score, this surgical procedure should be reconsidered especially in patients with more than three comorbidities.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, University Hospital Bonn, Bonn, Germany. koroushkabir@yahoo.com
authors.forename: Koroush
authors.initials: K
authors.lastname: Kabir
authors.forename: Christof
authors.initials: C
authors.lastname: Burger
authors.forename: Philipp
authors.initials: P
authors.lastname: Fischer
authors.forename: Oliver
authors.initials: O
authors.lastname: Weber
authors.forename: Andreas
authors.initials: A
authors.lastname: Florczyk
authors.forename: Hans
authors.initials: H
authors.lastname: Goost
authors.forename: Christoph
authors.initials: C
authors.lastname: Rangger
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome