What is the best treatment for a broken proximal humerus in an elderly patient?

Identifying the best treatment for proximal humeral fractures in (frail) older patients (PHF-Registry): a multicenter prospective cohort study - PHF-Registry

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON58214

Enrollment

900

Registered

2025-12-10

Start date

2026-03-01

Completion date

Unknown

Last updated

2025-12-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Proximal humeral fracture Shoulder fracture

Interventions

Nonoperative treatmentOperative treatment: intramedullary nailing or plate osteosynthesisOperative treatment: hemi-arthroplasty or reverse shoulder arthroplasty

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 3-part (AO-type 11-B1 or B2) or 4-part (AO-type 11-C1 or C2) proximal humeral fractureAge 65 years or olderPrimary surgery within 14 days (if index treatment is operative)Informed consent by patient or proxy

Exclusion criteria

Exclusion criteria: Split-head PHF or fracture dislocation (AO 11-B3 and C3)Additional traumatic injury, affecting PHF treatment choice or rehabilitationPathological, recurrent, or open PHFParesis or paralysis of the affected armRetained hardware around PHFBone metabolism disorder excluding osteoporosisExpected problems with follow-upInsufficient Dutch language comprehension

Design outcomes

Primary

Measure	Time frame
Quick-DASH score	—

Secondary

Measure	Time frame
OSSSSVPain levelEQ-5D-5LComplicationsRevision surgeryMortality(In)direct health care use with associated costs	—

Countries

Netherlands

Contacts

Public ContactD. Den Hartog

Erasmus MC, Universitair Medisch Centrum Rotterdam

d.denhartog@erasmusmc.nl+31107031050

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)