3- and 4 part fracture of the proximal humerus/ shoulderfracture
Conditions
Interventions
One group will be treated by hemiarthroplasty and the other group will be
treated by open reposition and internal fixation with a angle stable locking
compression plate.
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients to be included suffer from three- or four- part fracture of the proximal humerus according to the Neer classification with more than 5 mm dislocation in one of the fracture-planes and are aged above 60 years.
Exclusion criteria
Exclusion criteria: Patients with a fracture existing more than 14 days, ASA IV-V, multitrauma (ISS>16), pathological fracture, previous surgery on the injured shoulder, severely deranged function caused by a previous disease, head-split proximal humerus fracture and unwillingness or inability to follow instruction are excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome parameter is speed of recovery of functional capacity of the affected upper limb. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are: pain, patient satisfaction, functional outcome, quality of life, radiographic evaluation and complications | — |
Countries
Netherlands
Outcome results
None listed