Study Results
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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COMPLETED
160 participants
OBSERVATIONAL
2015-05-01
2019-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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COHORT
OTHER
Study Groups
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experimental intervention
A greater degree of initial displacement is tolerated to allow for conservative, non-operative treatment in more simple fracture patterns. Two-part fractures with marked displacement including two part patterns with a non-displaced greater or minor tuberosity fracture (formally three part fractures) are treated with a proximal humerus nail; and displaced three and four part fractures are primarily managed with a reverse total shoulder arthroplasty. Proximal Humeral Internal Locking System (PHILOS)-plates are only used exceptionally in this group of patients.
treatment/medical device
The new treatment algorithm was applied to all patients with proximal humerus fracture as from May 2013 onwards
control intervention
Since May 2013 we have changed our treatment algorithm for the treatment of fractures of the humeral head in the elderly. Before this change in algorithm we used PHILOS plates extensively and rarely Inverse Shoulder prostheses.
In general all proximal humerus fractures were operated except minimally or undisplaced.
standard
The old treatment algorithm was applied to all patients with proximal humerus fracture up to May 2013.
Interventions
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treatment/medical device
The new treatment algorithm was applied to all patients with proximal humerus fracture as from May 2013 onwards
standard
The old treatment algorithm was applied to all patients with proximal humerus fracture up to May 2013.
Eligibility Criteria
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Inclusion Criteria
* Proximal humerus fracture
* Informed consent by the patient or legal representatives to participate in the study
Exclusion Criteria
* Suspicion of a pathological fracture in the context of known or unknown malignancy
* Previous surgery of the proximal humerus on the same side
* High energy trauma
* Open Fracture
* Insufficient German language skills
65 Years
ALL
Yes
Sponsors
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University Hospital, Basel, Switzerland
OTHER
Responsible Party
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Principal Investigators
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Daniel Rikli, Prof
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Basel, Switzerland
Locations
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University Hospital Basel
Basel, Canton of Basel-City, Switzerland
Countries
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References
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Schurch MA, Rizzoli R, Mermillod B, Vasey H, Michel JP, Bonjour JP. A prospective study on socioeconomic aspects of fracture of the proximal femur. J Bone Miner Res. 1996 Dec;11(12):1935-42. doi: 10.1002/jbmr.5650111215.
Rikli D, Feissli S, Muller AM, Steinitz A, Suhm N, Jakob M, Audige L. High rate of maintaining self-dependence and low complication rate with a new treatment algorithm for proximal humeral fractures in the elderly population. J Shoulder Elbow Surg. 2020 Jun;29(6):1127-1135. doi: 10.1016/j.jse.2019.11.006. Epub 2020 Feb 10.
Other Identifiers
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2014-310
Identifier Type: -
Identifier Source: org_study_id
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