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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Tehran University of Medical Sciences
2024-10-01
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| Series: | Journal of Orthopedic and Spine Trauma |
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| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/595 |
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| author | Saeed Kokly Ramin Etemadi Omid Momen Seyyed-Mohsen Hosseininejad Sina Shakiba |
| author_facet | Saeed Kokly Ramin Etemadi Omid Momen Seyyed-Mohsen Hosseininejad Sina Shakiba |
| author_sort | Saeed Kokly |
| collection | DOAJ |
| description |
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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| format | Article |
| id | doaj-art-813446cff76740f6baa4d017ba8c97cb |
| institution | OA Journals |
| issn | 2538-2330 2538-4600 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj-art-813446cff76740f6baa4d017ba8c97cb2025-08-20T02:14:02ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002024-10-0110310.18502/jost.v10i3.16782Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional StudySaeed Kokly0Ramin Etemadi1Omid Momen2Seyyed-Mohsen Hosseininejad3Sina Shakiba4Assistant Professor of Orthopedic Surgery, Department of Orthopedic Surgery, Joint, Bone, Connective Tissue Rheumatology Research Center (JBCRC), 5th Azar hospital, Golestan University of Medical Sciences, Gorgan, IranAssistant Professor of Orthopedic Surgery, Golestan University of Medical Sciences, Gorgan, IranAssistant Professor of Orthopedic Surgery, Department of Orthopedic Surgery, Joint, Bone, Connective Tissue Rheumatology Research Center (JBCRC), 5th Azar hospital, Golestan University of Medical Sciences, Gorgan, IranAssistant Professor, Joint, Bone, Connective tissue Rheumatology Research Center (JBCRC), Golestan University of Medical Sciences, Gorgan, Iran;Golestan University of Medical Sciences, Gorgan, Iran 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 https://jost.tums.ac.ir/index.php/jost/article/view/595Proximal humerus fractureTreatment outcomeCross-sectional studytrauma |
| spellingShingle | Saeed Kokly Ramin Etemadi Omid Momen Seyyed-Mohsen Hosseininejad Sina Shakiba Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study Journal of Orthopedic and Spine Trauma Proximal humerus fracture Treatment outcome Cross-sectional study trauma |
| title | Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study |
| title_full | Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study |
| title_fullStr | Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study |
| title_full_unstemmed | Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study |
| title_short | Outcome of Surgical versus Non-Surgical Treatment for Proximal Humerus Fractures; a Cross-sectional Study |
| title_sort | outcome of surgical versus non surgical treatment for proximal humerus fractures a cross sectional study |
| topic | Proximal humerus fracture Treatment outcome Cross-sectional study trauma |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/595 |
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