EVALUATION OF SHOULDER JOINT REHABILITATION AFTER SURGERY OF PROXIMAL HUMERUS FRACTURE WITH THE SUPPORT OF 3D PRINTING MODELS PRIOR TO SURGERY
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Abstract
46 patients (patients) with proximal humerus fractures were operated on at Thong Nhat Hospital from January 2019 to April 2024. They were divided into 2 groups, group 1: 22 patients with the support of 3D printing models and group 2: 24 patients without 3D models. All patients were open reduction and internal fixation with a locking plate on the proximal humerus. The patients were evaluated for bone healing and deformity on X-ray, and shoulder function was assessed according to the Constant scale. Surgical time of group 1 (90.68 ± 13.029) was shorter than group 2 (105.25 ± 12.037). Mean blood loss of group 1 (164.55 ± 50.042) was less than group 2 (218.75 ± 28.789). Shoulder function were very good and good, accounting for a high rate of 82.6%, and there was no difference between the 2 groups. Postoperative complications had a low rate and there was no difference between the 2 groups in wound surface infection and subacromial conflict. Complications of screw perforation, osteomyelitis, and bone nonunion have not been observed.
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