AI Article Synopsis
- The study aimed to predict the risk of osteonecrosis (ON) in patients with surgically treated proximal humeral fractures using Neer and Hertel classifications over at least one year of follow-up.
- A total of 44 patients (16 men and 28 women, average age 61.36) were evaluated, with 6.8% developing ON; the Hertel classification showed a stronger association with ON than Neer.
- The findings suggest both classifications are effective at identifying patients with low ON risk, but more extensive future studies are needed for better predictive accuracy.
Article Abstract
Objective: To predict the risk of osteonecrosis (ON) according to the Neer and Hertel et al. classification for surgically treated proximal humeral fractures after at least one year of follow-up.
Methods: This is a retrospective, cross-sectional, and observational cohort study. A total of 44 patients, 16 (36.36%) men and 28 (63.63%) women, with a mean age of 61.36 years, participated in this study. Lesions were categorized according to Neer and Hertel's classifications, considering the preoperative prognosis for ON. After at least a year of follow-up, patients were reassessed. Data were evaluated using IBM SPSS Statistics.
Results: A total of three patients (6.8%) developed osteonecrosis. Comparisons showed no statistically significant difference, but we observed a superior association of osteonecrosis for the Hertel classification than that of Neer.
Conclusion: Both classifications showed a similar ability to identify patients at low risk of developing ON. New studies with a greater number of participants and sample homogeneity may intensify the value of the evaluation of clinical applicability and predictive capacity of the studied classifications with greater significance and correlation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353866 | PMC |
| http://dx.doi.org/10.1590/1413-785220233103e268183 | DOI Listing |
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