Minimally invasive versus standard open reduction of proximal humerus fractures

Not Applicable

• Conditions: Proximal humerus fractures; Injuries and Accidents - Fractures; Surgery - Surgical techniques

• Registration Number: ACTRN12610000730000
• Lead Sponsor: Auckland District Health Board

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2010-09-02
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

skeletal maturity
able to sign consent and comply with treatment

Exclusion Criteria

compound injuries
previous surgery to upper limb
previous known upper limb dysfunction
neuromuscular disorder affecting upper limb
significant neurological deficit at time of injury
pathologic fracture
major medical comorbidities precluding surgical intervention

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The constant score combines physical examination tests with subjective evaluation by the patients. The subjective assessment consists of 35 points and the remaining 65 points are assigned for the physical examination assessment. The subjective assessment includes a single item for pain and 4 items for activities of daily living. The objective assessment includes range of motion and power. The total possible score is 100 points. The constant score has become the most widely used shoulder evaluation instrument in Europe.[6 weeks, 3,6 and 12 months following surgery.];The Disabilities of the Arm, Shoulder and Hand ( DASH ) score is a 30-item, self report questionnaire designed to measure physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb. It is a valid, reliable and responsive tool that is commonly used for clinical and research purposes.[6 weeks, 3,6 and 12 months following surgery]

Secondary Outcome Measures

Name	Time	Method
radiographic outcomes to be assessed are the fracture reduction quality and the rate of union radiographically. We will also be looking at complications which can be seen radiographically eg malunion, nonunion, malposition of the hardware, osteonecrosis[6 weeks, 3,6 and 12 months following surgery];Possible complications such as the following:<br> - failure of fixation - seen on xrays<br> - malunion - seen on xrays<br> - nonunion - seen on xrays and clinical examination<br> - osteonecrosis - seen on xrays<br> - malposition of the hardware - seen on xrays<br> - wound infection - clinical examination<br> - neurovascular damage - clinical examination[6 weeks, 3,6 and 12 months following surgery];union rate - seen on xrays as evidence of fracture healing with bridging callus. Plus clinical examination of fracture site for pain, movement of the fracture or loss of fixation[6 weeks, 3,6 and12 months following surgery]