Shoulder hemiarthroplasty rehabilitation with fractures

Abstract

Fractures of the upper end of the humerus are relatively common. They are predominant in the female population (85%), age over 50 years, where the force that leads to fractures in 90% of cases is moderate. Multifragmentary (three-part and four-part) fracture of the upper end of humerus, treated nonoperatively, often leaves behind a significant disability. Between October 2003-2010, the rehabilitation of 34 patients with shoulder hemiarthroplasty was carried out. The achieved results are accompanied by a precise evaluation of Constant-score, after sixth month of operation. By scoring system, it estimates the pain, the mobility of the shoulder joint, the functional evaluation of the hand and grip strength. In 25 patients (73.5%) the Constant-score was >90 points. In 7 patients (20.6%) was 80-89, and in 2 patients (5.9%) the value of Constsant-score was < 60 points. The maximum possible restitution of shoulder function in patients with shoulder hemiarthroplasty is-provided by: well conducted operation--early started, adequate kinesiotherapeutic protocol, implemented long enough--a good motivation of patients for the treatment.