Outcomes of operative and nonoperative treatment of 3- and 4-part proximal humeral fractures in elderly: a 10-year retrospective cohort study

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Marieke E BrouwerKlaus W Wendt

Abstract

Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for elderly patients. The aim of this retrospective cohort study was to evaluate health-related quality of life (HRQoL), functional outcome, pain and social participation in elderly patients, after operative and nonoperative treatment of displaced 3- and 4-part proximal humeral fractures. 150 patients aged ≥ 65, treated for a displaced 3- or 4-part proximal humeral fracture between 2004 and 2014, were invited to participate. Eventually 91 patients (61%) participated, of which 32 non-operatively treated patients were matched to 32 of the 59 operatively treated patients by propensity score matching. The EQ-5D, DASH, VAS for pain and WHODAS 2.0 Participation in Society domain were administered. Complications and reinterventions were registered. No significant difference was found between the two treatment groups in HRQoL (p = 0.43), function (p = 0.78) and pain (p = 0.19). A trend toward better social participation in the operative group (p = 0.09) was found. More complications and reinterventions occurred in the operative group than the nonoperative group, with 9 versus 5 complications (p = 0.37) and 8 ve...Continue Reading

References

Jan 1, 1989·Archives of Orthopaedic and Trauma Surgery·T LindJ Jensen
Feb 1, 1987·Acta Orthopaedica Scandinavica·B KristiansenJ R Aalberg
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·K ZytoH Törnkvist
Apr 21, 1999·Journal of Clinical Epidemiology·J A BarrettM L Beach
Aug 9, 2001·Annals of Medicine·R Rabin, F de Charro
Sep 15, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Olof Johnell, John Kanis
Jan 6, 2006·Clinical Orthopaedics and Related Research·Mika PalvanenJari Parkkari
Jul 4, 2006·Injury·Charles M Court-Brown, Ben Caesar
Nov 8, 2007·Journal of Orthopaedic Trauma·Juan AgudeloWade Smith
Jun 30, 2009·Journal of Shoulder and Elbow Surgery·Beate HansonDirk Stengel
Dec 10, 2009·Journal of Shoulder and Elbow Surgery·Philippe ClavertJean-François Kempf
Nov 16, 2010·Bulletin of the World Health Organization·T Bedirhan UstünUNKNOWN WHO/NIH Joint Project
Jan 21, 2011·The Journal of Bone and Joint Surgery. American Volume·John-Erik BellAnna N A Tosteson
Aug 17, 2012·Clinical Orthopaedics and Related Research·Harm W BoonsCorné J van Loon
Feb 1, 2006·Tijdschrift voor gerontologie en geriatrie·S U ZuidemaR T C M Koopmans
Mar 23, 2013·The Journal of Hand Surgery, European Volume·T Aasheim, V Finsen
Jan 15, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tore Fjalestad, Margrethe Øye Hole
Dec 3, 2014·Journal of Shoulder and Elbow Surgery·Christian BahrsThomas Freude
Mar 11, 2015·JAMA : the Journal of the American Medical Association·Amar RanganUNKNOWN PROFHER Trial Collaborators
Jun 22, 2016·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Matthijs M VersteeghElly A Stolk

❮ Previous
Next ❯

Citations

Sep 13, 2019·Applied Health Economics and Health Policy·Jenny ClelandJulie Ratcliffe
Aug 9, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Klaus W WendtRadko Komadina

❮ Previous
Next ❯

Software Mentioned

WHODAS
SPSS
MatchIt
R

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.