bovenarmbreuk humerus fracture
Conditions
Interventions
Patients with a 3-part displaced proximal humeral fracture have an indication for surgical treatment. Until now there is no superior technique. Therefore patients will be randomized for osteosynthesis
Sponsors
Maastricht University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult men and women aged 18 years or older; 2. Unilateral acute dislocated three-part proximal humeral fracture (>45 degrees of angulation or > 0,5 cm of dislocation between major fracture fragments); 3. Fit for surgery; 4. Operative treatment within 21 days post-fracture; 5. Provision of informed consent by patient.
Exclusion criteria
Exclusion criteria: 1. bilateral proximal humeral fractures; 2. other major trauma / fractures; 3. pathological, recurrent or open fractures; 4. pre-existing impaired shoulder function (i.e., stiff or painful shoulder, neurologic disorder of the upper limb, or diagnosed rotator cuff impairment; 5. Retained hardware around the affected humerus; 6. a disorder of bone metabolism other than osteoporosis (i.e., Paget’s disease, renal osteodystrophy, osteomalacia); 7. Moderate or severe cognitively impaired patients (i.e., Mini-Mental Status Examination (MMSE) Six Item Screener with 3 or more errors); 8. Likely problems, in the judgment of the investigators, with maintaining follow-up (e.g., patients with no fixed address will be excluded); 9. Insufficient comprehension of the Dutch language to understand a rehabilitation program and other treatment information in the judgment of the attending physician; 10. Patients with follow-up in other then the participating hospitals.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint is functional outcome 1 year after surgery indicated by the Constant-Murley scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary outcomes are DASH-score, pain, SF-12, EQ-5D, complication and mortality rate. | — |
Contacts
Public ContactJeroen Bransen
MUMC, Department of Surgery PO Box 5800
Outcome results
None listed