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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 2 Comparison of outcomes between surgical procedures

From: Intramedullary nailing versus cemented plate for treating metastatic pathological fracture of the proximal humerus: a comparison study and literature review

Variable

Total

Nailing (n = 17)

Plating (n = 28)

p-Value

Surgical condition

 Blood loss, ml

300.0 (120.0–550.0)

100.0 (60.0–200.0)

500.0 (350.0–600.0)

 < 0.001

 Surgical time, min

111.0 ± 22.2

111.5 ± 17.5

110.7 ± 24.9

0.913

Length of hospital stay, days

10.8 ± 4.2

8.4 ± 2.6

12.3 ± 4.3

 < 0.001

Complications

1 (2.2)

0 (0.0)

1 (3.6)

1.000b

Radial nerve injury

4 (8.9)

1 (5.9)

3 (10.7)

1.000b

Pain relief and function score

 VAS score

  Before surgery

8.0 (8.0–9.0)

8.0 (8.0–9.0)

8.0 (7.5–9.0)

0.881

  One month after surgery

2.0 (2.0–2.0)

2.0 (0.0–2.0)

2.0 (2.0–2.5)

0.002

  Reduction score (before–after)

6.0 (6.0–7.0)

7.0 (6.0–8.0)

6.0 (5.0–7.0)

0.010

  Limitation of shoulder motion

15 (33.3)

5 (29.4)

10 (35.7)

0.664

  MSTS scorea

28.0 (27.0–29.0)

28.0 (27.0–29.0)

27 (26.5–28.5)

0.232

  Karnofsky score

80.0 (70.0–80.0)

80.0 (70.0–80.0)

80.0 (70.0–80.0)

0.926

Survival status

 Follow-up time, months

18.0 (17.0–18.0)

18.0 (16.0–18.0)

16.5 (16.0–19.0)

0.488

 Dead

21 (46.7)

10 (58.8)

11 (39.3)

0.203

  1. P-Values < 0.05 are shown in bold
  2. MSTS Musculoskeletal Tumor Society rating scale; VAS visual analog scale
  3. a. MSTS score was checked at 3 months in patients still alive
  4. b. Fisher’s exact test