Authors : Abdullah Al-Zahrani
Background: Improvement of prosthetic materials, surgical techniques and physiotherapeutic tools has improved the outcome of shoulder hemiarthroplasty in trauma patients. In this retrospective study the experience in shoulder hemiarthroplasty at Taif tertiary hospitals will be evaluated.
Methods: In this retrospective study, the patients' records who undergone shoulder hemiarthroplasty for proximal humeral fractures at Taif tertiary hospitals; King Abdul Aziz Specialist Hospital, King Faisal Hospital, and Al-Hada Armed Force Hospital from January 2006 to December 2015 were reviewed. Thirty two patients were included in this study. Outcomeswere; demographic data, surgical indications, Intraoperative findings and outcome of treatment during the period of follow up.
Results: The study included 32 patients andmale to female ratio was 2.2:1. The mean age was 57±13.8 years. The mean follow up of patients was 32.7±7.9 months. Acute trauma represented 78.1% of patients vs. 21.9% of old trauma. Multiple component modular system implants were used in all patients. Variable and in most of cases incomplete outcome scores were recorded in files. The overall findings showed that pain was improved in all patients; completely painless in 68.75%, episodic moderate pain in18.75%, and residual mild pain in 12.5% of cases. Normal function was regained in 81.25%. Postoperative early complications were 9.4% which were improved with treatment with no effect on the patient outcome. Postoperative patients' satisfaction was 81.25%. Delayed complications occurred in 15.6% of patients and necessitated revision.
Conclusion: this study found that shoulder hemiarthroplasty has a satisfactory clinical outcome especially in young and acute trauma patients; however, to avoid biased results extended prospective studies are required and surgeons must pay more attention to assess his patients using a complete reliable scoring index.
Keyword: Shoulder, hemiarthroplasty, proximal humeral fracture