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Orthopaedic Treatment Proximal Humeral Fractures

2017-11-17 03:41:15 | BioPortfolio

Summary

Prospective non-randomized, open, unicentric clinical trial to compare two different treatments for Three-four parts fractures of proximal humerus (Neer's Classification) in elderly patients(over 75 years old). Both technics are: Sling inmobilization and shoulder arthroplasty.

Description

The investigators propose an observational study that aims to assess:

- Primarily, the functional results of a cohort of 20 pacients presenting fractures of 3 and 4 parts of proximal humerus (according to (Neer's Classification) that will be treated orthopedically (this is, non-surgically). This patients will be recruited in the emergency room of our center, and after being diagnosed of their fracture, will be treated with a sling for three weeks and subsequent rehabilitation treatment. Our intention is to assess the function of the injured shoulder using functional scales (ASES and Constant score) at the time of one, three, six and twelve months from the date of the trauma.

- Secondly the investigators want to compare the results obtained in this cohort with the results of a historical cohort of patients operated in our center with the same type of fracture. Both types of treatment (non-surgical and shoulder prosthesis) are valid for this type of fracture, and endorsed by the scientific literature.

The investigators consider this to be an observational study since it assigns a single cohort of patients a single treatment (ie non-surgical treatment). The conservative treatment for this fractures is part of routine medical care, and the object of this study is studies the effect of this intervention.

Study Design

Conditions

Proximal Humeral Fracture

Status

Not yet recruiting

Source

Hospital General Universitario Gregorio Marañon

Results (where available)

View Results

Links

Published on BioPortfolio: 2017-11-17T03:41:15-0500

Clinical Trials [780 Associated Clinical Trials listed on BioPortfolio]

LPHP-Philos-PHN Conservative Treatment

The aim of the study is to compare the results regarding fracture healing and functional outcome after the treatment of proximal humeral fractures with the four different treatment metho...

Comminuted Proximal Humeral Fractures. A Randomised Study of Surgical Versus Conservative Treatment

1. Do a standardized surgical treatment of unstable displaced proximal humerus fracture in patients aged over 60 compared to a standardized conservative treatment gain a better f...

Shoulder Functional Outcomes of Patients With Proximal Humerus Fractures: Comparison of Two Different Treatment Protocol

Fractures of the proximal humerus and the humeral head are most common injuries and the management is challenging. Functional therapy with short immobilization, followed by an accelerated ...

Does Teriparatide (rhPTH 1-34) Promote Fracture Healing in Proximal Humeral Fractures?

40 postmenopausal women, with a non-operated proximal humeral fracture, will be randomized to standard treatment (physiotherapy) or standard treatment + Forsteo (rhPTH 1-34) during 4 weeks...

Evidence Based Algorithm for Proximal Humerus Fractures

Proximal humerus fractures are particularly frequent injuries and represent 6% of all fractures with an overall incidence of 63/100.000 in human. The goal is to assess our institutional ev...

PubMed Articles [1791 Associated PubMed Articles listed on BioPortfolio]

Humeral Retroversion and Injury Risk After Proximal Humeral Epiphysiolysis (Little Leaguer's Shoulder).

The increased humeral retroversion on the dominant side of throwing athletes is thought to result from repetitive throwing motion. Little Leaguer's shoulder-a rotational stress fracture of the proxima...

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fra...

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fra...

Clinical and Radiographic Outcomes After Surgical Treatment of Proximal Humeral Fractures with Head-Split Component.

Head-split fractures are a subgroup of proximal humeral fractures in which the fracture line affects the articular surface. Limited data are available regarding outcomes and risk factors for failure f...

Intramedullary Fixation for Proximal Humeral Fractures.

Proximal humeral fractures are a commonly encountered injury; however, no consensus has been reached for the ideal treatment. Current surgical fixation options include plate, plate with fibular strut ...

Medical and Biotech [MESH] Definitions

Fracture in the proximal half of the shaft of the ulna, with dislocation of the head of the radius.

Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999)

The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals.

Fracture of the lower end of the radius in which the lower fragment is displaced posteriorly.

The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.

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