Quality of life after antegrade intramedullary nail fixation of humeral fractures: a survey in a selected cohort of Brazilian patients

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dc.contributor.authorCocco, Luiz Fernando [UNIFESP]
dc.contributor.authorCohen, Moises [UNIFESP]
dc.contributor.authorReis, Fernando Baldy dos [UNIFESP]
dc.contributor.authorEjnisman, Benno [UNIFESP]
dc.contributor.authorBelangero, Paulo Santoro [UNIFESP]
dc.coverageLondon
dc.date.accessioned2020-07-20T16:31:15Z
dc.date.available2020-07-20T16:31:15Z
dc.date.issued2018
dc.description.abstractBackground: The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. The proposal of this work is to evaluate through the WORC protocol (Western Ontario Rotator Cuff Index) the consequences in the quality of life of patients submitted to osteosynthesis of the humerus with antegrade locked intramedullary nailing. Methods: This work is a cohort retrospective study in addition to the application of a questionnaire for self-rated quality of life with its 05 domains (WORC - Western Ontario Rotator Cuff Index) for patients (N = 26) classified in the Trauma Sector of the Department of Orthopedics and Traumatology of the Federal University of Sao Paulo (DOT/UNIFESP) submitted to Humerus Osteosynthesis with Antegrade Locked Intramedullary Nailing. There was also the inclusion of data related to the time since surgery, age, sex, surgical laterality, dominance among members and work leave, which were not considered in the original protocol. After, the data were statistically assessed to evaluate the association between numerical and categorical variables. Results: The overall WORC score was 82.75 +/- 17.00 (Mean +/- SD) and was not different considering sex, age and postoperative period. Among the WORC domains, both Work and Sport / Recreation Protocols were the most unfavorable factors in the evaluation of patients. Although not statistically significant, those who had the procedure on the dominant side presented a lower quality of life score than those who had the surgery on the non-dominant side. Although non-significant again, those who were away from work had an overall lower quality of life score than those who were not. Conclusions: The WORC Quality of Life Protocol shows good results for evaluating patients submitted to humerus osteosynthesis with antegrade locked intramedullary nailing. The data stratified by domains were good, however, Work and Sport/Recreation domains showed the lowest means compared to the other domains.en
dc.description.affiliationUniv Fed Sao Paulo, DOT UNIFESP Escola Paulista Medicina, Dept Orthoped & Traumatol, Rua Borges Lagoa 778, BR-04024002 Sao Paulo, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, DOT UNIFESP Escola Paulista Medicina, Dept Orthoped & Traumatol, Rua Borges Lagoa 778, BR-04024002 Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.1186/s13037-018-0150-8
dc.identifier.citationPatient Safety In Surgery. London, v. 12, 2018.
dc.identifier.doi10.1186/s13037-018-0150-8
dc.identifier.fileWOS000427141200001.pdf
dc.identifier.issn1754-9493
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/55824
dc.identifier.wosWOS:000427141200001
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofPatient Safety In Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectWORCen
dc.subjectShoulder functionen
dc.subjectRotator cuffen
dc.subjectHumeral intramedullary nailingen
dc.titleQuality of life after antegrade intramedullary nail fixation of humeral fractures: a survey in a selected cohort of Brazilian patientsen
dc.typeinfo:eu-repo/semantics/article
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