About this trial
The proximal humerus fracture (PHFs) is the third most common fracture type in the elderly, and represents 5% of the overall fractures. The incidence is increasing. The purpose of the project is to compare surgical and conservative management of two- part PHFs in light of radiological, economical and clinical outcome. Do the participants between 60 and 85 years of age with displaced two-part PHFs fare better or worse after surgery compared to non-operative treatment?
Eligibility criteria
Qualifiers
Patients > 60 years and <85 years
More than 50% displacement between head or shaft or 50⁰ angulation of the head against the shaft in Y-projection or more than 45 ˚ valgus or more than 30˚ varus of the Head Shaft Angle (HSA).
Patient with tuberculum majus or minor fractures which displaced <5mm can be included as long as points 1 and 2 above are fulfilled.
Disqualifiers
Refusal to participate in the study
Fracture more than 3 weeks old
No contact btw head and shaft
Ipsilateral damage that will influence the recovery and scoring systems
Trial design
Treatments tested in this trial
- Open reduction internal stabilisation (ORIF)
Treatment groups
Locations
1Map coordinates are unavailable for these locations. Locations are shown below instead.