proximal humeral fractures
Conditions
Interventions
reverse total shoulder arthroplasty group:reverse total shoulder arthroplasty
locking plate internal fixation group:locking plate internal fixation
Sponsors
Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University
Eligibility
Sex/Gender
All
Age
65 Years to 85 Years
Inclusion criteria
Inclusion criteria: (1) Aged 65 to 85 years old (including 65 and 85 years old); (2) For patients with unilateral proximal humeral fracture complicated with shoulder dislocation caused by trauma, the receiving doctor confirmed the Neer type VI patients according to the patient's injury history, physical examination, X-ray film and CT; (3) Patients whose general condition can tolerate the operation; (4) The patient was in the acute stage of fracture (within 3 weeks of injury); (5) The patient informed and agreed to participate in this study.
Exclusion criteria
Exclusion criteria: (1) Patients with dislocation of shoulder joint and simple fracture of greater tuberosity of humerus; (2) MRI revealed patients with giant rotator cuff injury; (3) Patients with axillary nerve injury on the affected side or deltoid muscle strength grade 4 or below; (4) There are contraindications to MRI examination (equipped with cardiac pacemaker, suffering from claustrophobia, etc.); (5) Gustilo Anderson type ? open fracture or open fracture with vascular nerve injury; (6) Pathological fracture, such as patients with tumor, osteomalacia, osteomyelitis or simple bone cyst who are unwilling to participate in the test; (7) Ipsilateral upper limb with previous trauma or surgery; (8) Mentally ill or unable to understand Chinese, unable to understand and complete the questionnaire independently.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Constant-Murley score; | — |
Secondary
| Measure | Time frame |
|---|---|
| QuickDASH score;ASES score;VAS score;EQ5D score;ROM of shoulder;incidence of complications;combined treatments; | — |
Countries
China
Contacts
Public ContactWang Qiuke
Shanghai Sixth People's Hospital Affiliated to Shanghai JiaoTong University
Outcome results
None listed