Humeral shaft fractures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 60 years or older; 2. Unilateral displaced humeral shaft fracture; 3. Displacement was at least the amount of the thickness of the cortex or in transverse fractures diastasis of the half of the thickness of the cortex was required; 4. The fracture was lying in a zone delimited proximally by the superior border of the pectoralis major tendon attachment and distally by the line lying 5 cm from the upper border of the olecranon fossa as evaluated from the x-ray (see Figure 2 A in the main publication for illustration); 5. The fracture was less than 10 days old; 6. The patient was willing to accept both treatment options and willing to participate in all follow-up visits; 7. Patient spoke and read fluently either Finnish or Swedish (due to language used in data forms.
Exclusion criteria
Exclusion criteria: 1. Bilateral fracture; 2. Fracture type where pectoralis major and deltoid muscle tendon insertions were in different fracture fragments causing typically significant fracture gap between the fragments (see Figure 2 B in the main publication for illustration); 3. Other concomitant trauma affecting the same upper extremity (fracture, tendon injury, significant soft tissue injury); 4. Other fracture, thoracic or abdominal injury requiring surgery; 5. Open fracture; 6. Pathologic fracture; 7. Polytraumatized patient; 8. Significant vascular injury warranting operative treatment; 9. Plexus injury; 10. History of trauma of the same upper extremity causing functional deficit; 11. Trauma or condition that warranted use of walking aid (crutches, wheelchair etc.); 12. Disease that significantly affected general condition of the patient; 13. Significantly impaired ability to co-operate for any reason (substance abuse, mental disorder, dementia); 14. Operative treatment unable to be performed within 14 days of trauma; 15. Unwilling to accept both treatment methods.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient Reported Outcomes; | — |
Countries
Pakistan
Contacts
Jinnah Postgraduate Medical Centre