Comminuted Proximal Humeral Fractures. A Randomised Study of Surgical Versus Conservative Treatment

NCT ID: NCT00863473

Last Updated: 2015-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-05-31

Study Completion Date

2010-05-31

Brief Summary

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1. Do a standardized surgical treatment of unstable displaced proximal humerus fracture in patients aged over 60 compared to a standardized conservative treatment gain a better functional outcome after one year?
2. Do surgical treatment gain more QALY than conservative treatment after one year?

Detailed Description

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Conditions

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Proximal Humeral Fracture Osteosynthesis or Conservative Treatment

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conservative /Physiotherapy

Active training protocol with instructed physiotherapy and self excercises

Group Type NO_INTERVENTION

No interventions assigned to this group

Surgery with LCP T plate

Surgical treatment with interlocking plate

Group Type ACTIVE_COMPARATOR

Surgical treatment with LCP

Intervention Type PROCEDURE

Interventions

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Surgical treatment with LCP

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* proximal humerus fracture of AO group B2 or C2 (displaced fracture of extra-articular or articular, bifocal type) admitted in hospital

Exclusion Criteria

* aged less than 60 year
* patients of non-Scandinavian ethnicity
* previous history of injury or illness of the injured or contralateral shoulder
* injury of other part of the humerus or the contralateral upper extremity,
* alcohol- or drug abuse
* dementia or neurological diseases
* severe cardiovascular disease that would contraindicate surgery
Minimum Eligible Age

60 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oslo

OTHER

Sponsor Role collaborator

University Hospital, Aker

OTHER

Sponsor Role lead

Responsible Party

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Tore Fjalestad

MD PhD Consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tore Fjalestad, Ortopeadic Dept, Oslo University Hospital

Oslo, , Norway

Site Status

Countries

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Norway

References

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Fjalestad T, Hole MO, Hovden IA, Blucher J, Stromsoe K. Surgical treatment with an angular stable plate for complex displaced proximal humeral fractures in elderly patients: a randomized controlled trial. J Orthop Trauma. 2012 Feb;26(2):98-106. doi: 10.1097/BOT.0b013e31821c2e15.

Reference Type BACKGROUND
PMID: 21804410 (View on PubMed)

Fjalestad T, Hole MO, Jorgensen JJ, Stromsoe K, Kristiansen IS. Health and cost consequences of surgical versus conservative treatment for a comminuted proximal humeral fracture in elderly patients. Injury. 2010 Jun;41(6):599-605. doi: 10.1016/j.injury.2009.10.056. Epub 2009 Nov 27.

Reference Type BACKGROUND
PMID: 19945102 (View on PubMed)

Fjalestad T, Hole MO. Displaced proximal humeral fractures: operative versus non-operative treatment--a 2-year extension of a randomized controlled trial. Eur J Orthop Surg Traumatol. 2014 Oct;24(7):1067-73. doi: 10.1007/s00590-013-1403-y. Epub 2014 Jan 11.

Reference Type BACKGROUND
PMID: 24413845 (View on PubMed)

Other Identifiers

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AkerU_s422

Identifier Type: -

Identifier Source: org_study_id

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