Palabras clave
Procedimientos quirúrgicos
Procedimientos ortopédicos
Artroplastia total del hombro
Rehabilitación
Cómo citar
Citações
Dimensions
Resumen
Objetivo: Identificar retrospectivamente, en personas sometidas a artroplastia total del hombro por fracturas del húmero proximal, el tipo de artroplastia utilizado, la puntuación funcional del hombro, las complicaciones registradas, la influencia del tiempo transcurrido desde la fractura y la colocación del implante en el resultado funcional final.
Método: estudio retrospectivo entre 2014 y 2017. Se identificaron las siguientes variables: edad, sexo, tiempo entre fractura y cirugía, tipo de artroplastia, cementación, modularidad, rehabilitación, complicaciones, tiempo de seguimiento y funcionalidad. Fueron recogidos datos de los instrumentos Constant Shoulder Score y American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form.
Resultados: Muestra compuesta por 12 mujeres y 3 hombres con una edad media de 78 años y un tiempo medio entre la fractura y la cirugía de 29,4 días. En términos de funcionalidad, se observó que las personas con próstesis inversa presentaran mejores resultados en comparación con las sometidas a hemiartroplastia (53,2 vs. 41,1 y 68,5 vs. 44,6). El seguimiento se realizó durante 29,4 meses.
Conclusión: La prótesis inversa parece ser la mejor opción de tratamiento y que permite una mejor funcionalidad. La modularidad protésica es importante.
Citas
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Derechos de autor 2019 Revista Portuguesa de Enfermagem de Reabilitação
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