Primary hemiarthroplasty versus conservative treatment for comminuted fractures of the proximal humerus in the elderly (ProCon): A Multicenter Randomized Controlled trial

Hartog, Dennis den; Lieshout, Esther M.M. Van; Tuinebreijer, W.E.; Polinder, Suzanne; Beeck, Ed F. van; Breederveld, R.S.; Bronkhorst, M.W.G.A.; Eerenberg, J. P.; Rhemrev, Steven J.; Roerdink, W.H.; Schraa, G.; Vis, Harm M van der; Thiel, T.P.H.; Patka, P.; Nijs, Stefaan; Schep, N.W.L.

doi:10.1186/1471-2474-11-97

Cited by 48 publications

(32 citation statements)

References 32 publications

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“…High rates of osteonecrosis and fracture collapse have led some authors to advocate for hemiarthroplasty as the treatment of choice for Bat-risk^fractures [17]. However, the range of motion after hemiarthroplasty is highly variable, and two studies have reported no functional difference between hemiarthroplasty and nonsurgical treatment [18].…”

Section: Discussionmentioning

confidence: 98%

Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft

Panchal

Jeong

Park

et al. 2015

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 98%

Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft

Panchal

Jeong

Park

et al. 2015

International Orthopaedics (SICOT)

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“…High rates of ON and fracture collapse have led some authors to advocate for hemiarthroplasty as the treatment of choice for ''at-risk'' fractures [21]. However, motion after hemiarthroplasty is highly variable and two reports found no functional difference between hemiarthroplasty and nonoperative treatment [6,31]. Internal fixation can produce better functional outcomes than hemiarthroplasty [28], particularly when complications are avoided [13,26].…”

Section: Discussionmentioning

confidence: 99%

Endosteal Strut Augment Reduces Complications Associated With Proximal Humeral Locking Plates

Neviaser

Hettrich

Beamer

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Accurate diagnosis of the injury, as well as consideration of the patient's preinjury function and needs, will allow for acceptable outcomes for most patients. 83,93 Treatment of the proximal humerus fracture is complex and should be uniquely designed to provide for the best functional outcome for each patient.…”

Section: Nonhip Fractures Proximal Humerus Fractures (H Hoyen and Smentioning

confidence: 99%

A Guide to Improving the Care of Patients With Fragility Fractures

Bukata

DiGiovanni

Friedman

et al. 2011

Geriatr Orthop Surg Rehabil

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ForewordFragility fractures, low-energy injuries that occur from a fall from a standing or lower height, represent a serious public health problem. After age 50, the lifetime risk of having a fragility fracture is 33% for an American woman and 20% for a man. 1 In the United States, 2.1 million people will suffer a fragility fracture each year.1 The incidence of fragility fractures increases steeply after age 65.2 Osteoporosis is present in most patients with a fragility fracture.Hip fractures are the most serious in terms of cost and morbidity. The average cost of inpatient care for a hip fracture in 2005 was $33 962.3 The lifetime risk of having a hip fracture is 6% for men and 17.5% for women. Although the mortality risk after a hip fracture is much higher for a man, a woman's risk of dying from a hip fracture is high and exceeds the lifetime risk of death from breast cancer, uterine cancer, and ovarian cancer combined. For those who survive after a hip fracture, most do not regain their preinjury level of function, and 30% lose their independence. This loss of independence is greatly feared by patients and is very costly to patients and society.Although a hip fracture may have the most serious consequences, other bones, such as the wrist, shoulder, ankle, pelvis, and spine, frequently fracture in the osteoporotic patient. For example, the lifetime risk of a forearm or vertebral compression fracture is 16% and 15.6%, respectively, for a woman and 2.5% and 5%, respectively, for a man. 4 These statistics clearly show that fragility fractures are a major problem facing American society today, 5 and the care of such fractures presents an even greater challenge, in part because the quality of care delivered in the United States varies widely, even within one region. Many such fractures are treated in an outpatient setting, although some may be treated in the inpatient hospital setting. However, the quality of care for seniors with fragility fractures receives relatively little attention. In 2004, the United States Surgeon General issued a comprehensive report calling for health professionals to make significant improvements in our nation's bone health, and an improvement in the system and methods of care was suggested. 5There has been little written on the subject of improving the system of care delivery in the United States.The goals of this blue book are to review the methods used in inpatient and outpatient care, as well as rehabilitation of the patient with a fragility fracture. We discuss evidence-based best care models and, where evidence is lacking, present expert opinions in an effort to improve the standard and the quality of care for the patient with a fragility fracture. We hope that this monograph will provide guidance to physicians, nurses, rehabilitation therapists, other health care providers, and administrators.Stephen L. Kates, MD Editor-in-Chief Simon C. Mears, MD, PhD

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Primary hemiarthroplasty versus conservative treatment for comminuted fractures of the proximal humerus in the elderly (ProCon): A Multicenter Randomized Controlled trial

Cited by 48 publications

References 32 publications

Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft

Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft

Endosteal Strut Augment Reduces Complications Associated With Proximal Humeral Locking Plates

A Guide to Improving the Care of Patients With Fragility Fractures

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