No abstract

ObjectiveTo correlate the functional outcomes and radiographic indices of proximal humerus fractures treated using an anatomical locking plate for the proximal humerus.MethodsThirty-nine patients with fractures of the proximal humerus who had been treated using an anatomical locking plate were assessed after a mean follow-up of 27 months. These patients were assessed using the University of California Los Angeles (UCLA) score and their range of motion was evaluated using the method of the American Academy of Orthopedic Surgeons on the operated shoulder and comparative radiographs on both shoulders. The correlation between radiographic measurements and functional outcomes was established.ResultsWe found that 64% of the results were good or excellent, according to the UCLA score, with the following means: elevation of 124°; lateral rotation of 44°; and medial rotation of thumb to T9. The type of fracture according to Neer's classification and the patient's age had significant correlations with the range of motion, such that the greater the number of parts in the fracture and the greater the patient's age were, the worse the results also were. Elevation and UCLA score were found to present associations with the anatomical neck-shaft angle in anteroposterior view; fractures fixed with varus deviations greater than 15° showed the worst results (p < 0.001).ConclusionThe variation in the neck-shaft angle measurements in anteroposterior view showed a significant correlation with the range of motion; varus deviations greater than 15° were not well tolerated. This parameter may be one of the predictors of functional results from proximal humerus fractures treated using a locking plate.

Objective: To evaluate the late postoperative results for quality of life after surgical treatment of Achilles tendon rupture by open surgery and peroneus brevis tendon transfer. Methods: This prospective cohort study included patients who underwent surgical treatment for Achilles tendon rupture by open surgery andperoneus brevis tendon transfer and evaluated these patients in outpatient follow-up. Functional and quality-of-life scores were determined in the late postoperative period. Results: The sample consisted of 32 patients with spontaneous tendon rupture primarily caused by practising recreational sports (81.1%). The mean age was 44.6 years, and the mean body mass index was 28.1Kg/m2; most of the patients were men. The rate of complications related to suture dehiscence in the immediate postoperative period was 31%. The World Health Organization Quality of Life-Abbreviated (WHOQOL-BREF) score was 15.2±2.45, the Foot Function Index Revised (FFI-R) score was 42.59±0.16, the Short Musculoskeletal Function Assessment (SMFA) score was 15.60±16.74, and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 80.16±15.08. Conclusion: The late postoperative functional results of open surgical treatment of tendon rupture were satisfactory using the AOFAS score and unsatisfactory using the FFI-R score. The quality-of-life outcomes were satisfactory using the WHOQOL-BREF score and unsatisfactory using the SFMA score. Both the FFI-R and SFMA scores indicated that the main patient complaints were stiffness of the affected limb and pain/ discomfort in the tendon that was surgically treated. Level of Evidence II; Prospective Cohort Study.