four-part fracture, conservative treatment, reversed shoulder prosthesis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. > 70 years of age; 2. 4-part fracture confirmed by 2 orthopaedic surgeons on X-ray; 3. Informed consent / patient information; 4. Mentally alert and physically fit (ASA-group 1-3) for surgery and rehabilitation; 5. The patient agrees to comply with postoperative clinical and radiographic evaluations and the required rehabilitation regime.
Exclusion criteria
Exclusion criteria: 1. Pathological or complex fracture; 2. Pathology of the contra lateral shoulder; 3. Dementia; 4. Active infection; 5. Axillary nerve palsy; 6. A deficient deltoid muscle; 7. Abuse problems; 8. Unable to understand the meaning of informed consent, the patient information, instructions in Dutch and follow the rehabilitation protocol ; 9. The subject has participated in clinical trials evaluating investigational devices, pharmaceuticals or biologics within 3 months of enrolment in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in Constant Murley Score at 12 months between the intervention and historical control group. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Constant Murley score at 3 months; 2. Visual analogue scale (VAS) for pain and impairment; 3. Range of motion (ROM); 4. MecMesin myometer measurement of abduction force in Newton; 5. Postoperative standing AP; 6. Axial and SOV radiographs at 3 and 12 months; 7. Dutch simple shoulder test at 12 months. Perioperative complications, postoperative complications and adverse events will be counted for type (% of total events) at 12 months. | — |
Contacts
Wagnerlaan 55