Comparing Nail versus Locking Plate in patients with displaced three-part proximal humerus fractures; A randomized controlled pilot trial (PHINZ trial) investigating the feasibility of a definitive RCT.

niversity of Otago-Christchurch0 个研究点目标入组 13 人开始时间: 2023年9月27日最近更新: 2024年9月9日

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•Patients with displaced three-part proximal humerus fractures based on Neer classification will be included. In three-part fractures, either the lesser or greater tuberosity is displaced with associated displacement of the surgical neck producing a rotational deformity.

•1) Fractures extending to the humeral shaft
•2) Articular split,
•3) fractures more than 4 weeks old,
•4) open fractures.
•5) Concomitant ipsilateral fractures of distal humerus/ or elbow joint,
•6) Previous surgery of affected shoulder,
•7) Pathologic fracture (malignancy fractures),
•8) Neurovascular injuries (e.g., stroke, or brachial plexus injuries),
•9) Neurological disorders (e.g., Parkinson, or multiple sclerosis) or cognitive disorders (i.e., sever mental illness).
•10) Intra operative changes of treatment due to small diameter of humerus shaft to use nail, fracture line through the nail entry point or severely reduced bone quality resulting in fixation problems with either implants.

发起方

niversity of Otago-Christchurch