{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T04:28:37Z","timestamp":1772771317944,"version":"3.50.1"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Die operative Therapie der proximalen Humerusfraktur ist ein etabliertes Verfahren. Es zeigte sich, dass postoperative Komplikationen einen signifikanten Einfluss auf\n            das schulterspezifische Outcome haben. Wenig ist bisher bekannt \u00fcber einen Einfluss auf die verletzungsunabh\u00e4ngige Lebensqualit\u00e4t.<\/jats:p><jats:p>\n            Ziel der Arbeit Ziel dieser retrospektiven Studie ist es, zu analysieren, ob Patienten mit einem schlechten funktionellen Outcome nach operativ versorgter proximaler Humerusfraktur\n            mittelfristig ebenso eine eingeschr\u00e4nkte allgemeine Lebensqualit\u00e4t aufweisen. Ein Schwerpunkt liegt auf der Analyse von Patienten mit schlechtem funktionellem Outcome aufgrund von\n            postoperativen Komplikationen.<\/jats:p><jats:p>\n            Material und Methoden Auswertung aller im Zentrum operierten Patienten mit einer proximalen Humerusfraktur im Zeitraum vom 01.01.2005 bis 31.12.2015 und Nachuntersuchung mittels\n            validierter Scores (Constant-Murley Score [CMS], EQ-5D). Es wurden 2 Gruppen, Gruppe A mit gutem Outcome (\u2206CMS \u2264\u00a015P.) und Gruppe B mit schlechtem Outcome (\u2206CMS \u2265\u00a016P.), definiert.\n            Weiterhin wurden im Vorfeld deskriptive Variablen inkl. Definition einer Komplikation festgelegt.<\/jats:p><jats:p>\n            Ergebnisse Es wurden 138 Patienten in die Studie eingeschlossen (Gruppe A: 91, Gruppe B: 47). Das durchschnittliche Follow-up betr\u00e4gt 93,86 Monate \u00b1 37,33 (36\u2013167). Gruppe B hatte\n            signifikant mehr Komplikationen. Weiterhin zeigte sich, dass Patienten mit einem schlechten Outcome bez. der Schulter (Gruppe B) auch einen signifikant niedrigeren EQ-VAS (78,9\u00a0\u00b1\u00a019,2\n            [20,0\u2013100] vs. 70,4\u00a0\u00b1\u00a019,5 [15,0\u201398,0]; p\u00a0=\u00a00,008) und EQ-Index (0,91\u00a0\u00b1\u00a00,14 [0,19\u20131,00] vs. 0,82\u00a0\u00b1\u00a00,17 [0,18\u20131,00]; p\u00a0&lt;\u00a00,001) haben.<\/jats:p><jats:p>\n            Diskussion Zusammenfassend weisen in der vorliegenden Studie die Patienten mit einem schlechten Outcome der Schulterfunktion im CMS nach durchschnittlich mehr als 6 Jahren\n            Follow-up eine signifikant niedrigere generelle Lebensqualit\u00e4t auf. Das schlechte Outcome ist auf eine signifikant h\u00f6here postoperative Komplikationsrate zur\u00fcckzuf\u00fchren. Dies war\n            unabh\u00e4ngig von der vorliegenden Frakturmorphologie und vom verwendeten operativen Verfahren.<\/jats:p>","DOI":"10.1055\/a-1666-9231","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:24:51Z","timestamp":1643761491000},"page":"422-428","source":"Crossref","is-referenced-by-count":3,"title":["Das schulterspezifische Outcome nach proximaler Humerusfraktur hat Einfluss auf die mittelfristige allgemeine Lebensqualit\u00e4t"],"prefix":"10.1055","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5274-1896","authenticated-orcid":false,"given":"Ralf","family":"Henkelmann","sequence":"first","affiliation":[{"name":"Department of Trauma-, Reconstructive- and Plastic Surgery, University of Leipzig, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul-Vincent","family":"Link","sequence":"first","affiliation":[{"name":"Department of Trauma-, Reconstructive- and Plastic Surgery, University of Leipzig, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Melcher","sequence":"additional","affiliation":[{"name":"Department of Trauma-, Reconstructive- and Plastic Surgery, University of Leipzig, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Theopold","sequence":"additional","affiliation":[{"name":"Department of Trauma-, Reconstructive- and Plastic Surgery, University of Leipzig, Leipzig, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Hepp","sequence":"additional","affiliation":[{"name":"Department of Trauma-, Reconstructive- and Plastic Surgery, University of Leipzig, Leipzig, 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