Details

Autor(en) / Beteiligte

• Launonen, Antti P
• Sumrein, Bakir O
• Reito, Aleksi
• Lepola, Vesa
• Paloneva, Juha
• Berg, Hans E
• Felländer-Tsai, Li
• Kask, Kristo
• Rahnel, Timo
• Tootsi, Kaspar
• Märtson, Aare
• Jonsson, Kenneth B
• Wolf, Olof
• Ström, Peter
• Døssing, Kaj
• Østergaard, Helle K
• Mechlenburg, Inger
• Mattila, Ville M
• Laitinen, Minna K

Titel

Surgery with locking plate or hemiarthroplasty versus nonoperative treatment of 3–4-part proximal humerus fractures in older patients (NITEP): An open-label randomized trial

Ist Teil von

• PLoS medicine, 2023-11, Vol.20 (11), p.e1004308-e1004308

Ort / Verlag

San Francisco: Public Library of Science

Erscheinungsjahr

2023

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Proximal humerus fractures (PHFs) are common fractures, especially in older female patients. These fractures are commonly treated surgically, but the consensus on the best treatment is still lacking. The primary aim of this multicenter, randomized 3-arm superiority, open-label trial was to assess the results of nonoperative treatment and operative treatment either with locking plate (LP) or hemiarthroplasty (HA) of 3- and 4-part PHF with the primary outcome of Disabilities of the Arm, Shoulder, and Hand (DASH) at 2-year follow-up. In this study, no benefit was observed between operative treatment with LP or HA and nonoperative treatment in displaced 3- and 4-part PHFs in patients aged 60 years and older. Further, we observed a high rate of complications related to operative treatments.