Fracture
Conditions
Keywords
fracture, shoulder, bone density, healing
Brief summary
The purpose of this study is to study with the use of clinical and radiological parameters the treatment of three-part and four-part fractures with the Winsta PH osteosynthesis device (Fischer Medical).
Detailed description
We shall measure the following clinical parameters with the help of the Constant Shoulder Score (CSS) and Western Ontario Osteoarthritis of the Shoulder Index (WOOS): 1. Pain 2. Activities of Daily Living (ADL) 3. Range of Motion (ROM) 4. Muscle strength We shall measure the following radiologic parameters: 1. Healing (migration) of tuberculum majus and minus measured with use of MB-RSA 2. Plate migration with use of MB-RSA 3. Bone density in the proximal humerus measured with Dual Energy X-ray Absorptiometry (DEXA) 4. Correlation between bone density and prosthesis migration (and tuberculum migration)
Interventions
The Winsta PH osteosynthesis device have been developed for use in treatment of proximal humerus fractures.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with three-part and four-part proximal humeral fractures 2. Aged 50 years or older and fit 3. Informed, written consent 4. A functioning shoulder preoperatively -
Exclusion criteria
1. Patients found unsuitable preoperatively for a shoulder Philos Plate 2. Patients aged 85 or older 3. Patients with rheumatoid arthritis 4. Patients who previously had undergone shoulder plastic or other major shoulder surgery 5. Patients unable to avoid NSAID after surgery 6. Patients requiring regular systemic steroid treatment 7. Female patients taking hormone substitution 8. Female patients in the fertile age range who do not use safe anti-conception (oral contraception, intrauterine devices, depot gestagens, vaginal hormone rings) 9. Patients with metabolic bone disease -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Healing (migration) of tuberculum majus and minus measured with use of Model-Based Roentgen Stereophotogrammetric Analysis (MB-RSA) | five years | Migration of the tubercles measured with Model-Based Roentgen Stereophotogrammetric Analysis (MB-RSA) |
Secondary
| Measure | Time frame |
|---|---|
| Range of Motion (ROM) | five years |
| Muscle strength | five years |
| Correlation between bone density and prosthesis migration (and tuberculum migration) | five years |
| Activities of Daily Living (ADL) | five years |
| Bone density in the proximal humerus measured with Dual Energy X-ray Absorptiometry (DEXA) | five years |
Countries
Denmark