Elderly (People Aged 65 or More), Humerus Shaft Fracture
Conditions
Keywords
patient outcomes
Brief summary
The study purpose is to evaluate whether early surgical fixation of upper arm fractures in elderly patients' age 65 years and older improves patient functional and psychological outcome scores compared to the standard of care with non-operative management.
Detailed description
A prospective cohort study following patients that are 65 years or older after they have suffered a humeral shaft fracture. Follow up will continue until 1 year post treatment to see functional and psychological outcomes.
Interventions
OTHERPatient Reported Outcome Measures
Participants will complete the following outcome measures American Shoulder and Elbow Surgeons Evaluation Questionnaire - upper limb function score 12-Item Short Form Survey - general health questionnaire
OTHERRange of Motion
Shoulder and Elbow Range of Motion collected at the time of radiographic union
Sponsors
Fraser Orthopaedic Research Society
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Diaphyseal humeral shaft fracture (as defined as superior border of insertion of pectoralis major proximally, to the distal diaphysis) 2. Ambulatory (with or without the use of walking aides)
Exclusion criteria
1. Fractures with intra-articular extension 2. Ipsilateral upper extremity injury 3. Patients with vascular injury 4. Brachial plexus injury 5. Compartment syndrome 6. Pathological fractures 7. Open fractures 8. Periprosthetic fracture 9. BMI >40 10. Dementia or cognitive impairment that inhibits the collection of outcome measures 11. Likely problems, in the judgement of the investigator, with maintaining follow-up (i.e. patients with no fixed address, not mentally competent to give consent, intellectually challenged, patients without adequate support, etc.) 12. Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| American Shoulder and Elbow Score | Enrolment to 12 months post treatment | Patient reported outcome measure for shoulder and elbow function. The score ranges from 0 to 100, with 0 the lowest level of function and 100 the highest level of function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 12-Item Short Form Survey | Enrolment to 12 months post treatment | General health patient reported outcome measure. Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning. |
| Range of Motion | 3 months post treatment | range of motion of shoulder and elbow |
Countries
Canada
Contacts
Primary ContactKyrsten Butterfield, BSc
Backup ContactBertrand Perey, MD
Outcome results
None listed