Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study
Objectives: Proximal humerus fracture (PHF) is one of the most common upper limb fractures. PHF is more common among the elderly and usually occurrs after a fall. high-energy trauma causes this form of fracture in young persons. There are several treatment options for PFH, including surgical and no...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2024-10-01
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| Series: | Journal of Orthopedic and Spine Trauma |
| Subjects: | |
| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/595 |
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| Summary: | Objectives: Proximal humerus fracture (PHF) is one of the most common upper limb fractures. PHF is more common among the elderly and usually occurrs after a fall. high-energy trauma causes this form of fracture in young persons. There are several treatment options for PFH, including surgical and non-surgical precedures. We aimed to compare the results of surgical and non-surgical treatment outcomes in Iranian patients with PHF.
Methods: This single-center cross-sectional study included 60 patients with PFHs.the patients medical records were reviewed, studied, and assesed based on demographic characteristics, underlying conditions, type of treatment, complications, and necessity for re-intervention, as well as the CONSTANT score.
Results: The mean age of the patients was 45.65 years (SD: 1.83, range:18-78 years old). Among those older than 50 years, women significantly outnumbered men by a large margin (66.7%, P =0.009), (Mean±SD age of males and females: 39.71 ± 1.52 vs 52.42 ± 1.94, respectively). Thirty-one patients received surgical treatment, while 29 patients received non-surgical care. The CONSTANT score of patients who had surgery was considerably higher than that of other patients (P =0.009, Mean±SD: 80.41 ± 1.89 against 69.82 ± 1.82); this significant relationship was only seen in the age group of 18 to 49 years.
Conclusion: PHFs were more frequent in patients over the age of 50, perticularly in women. Patients under the age of 50 and men had higher CONSTANT scores.
Keywords: Proximal humerus fracture, Treatment outcome, Cross-sectional study, trauma
Level of evidence: level 4
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| ISSN: | 2538-2330 2538-4600 |