Reverse Total Shoulder Arthroplasty Versus Hemiarthroplasty for Displaced 3- and 4-part Proximal Humeral Fractures

Not Applicable

Completed

• Conditions: Humeral Fracture, Proximal
• Interventions: Procedure: Reverse Total Shoulder Arthroplasty; Procedure: Hemiarthroplasty

• Registration Number: NCT03383991
• Lead Sponsor: Karolinska Institutet

Brief Summary

Proximal humeral fractures are common injuries with the highest incidence being amongst the elderly. Most proximal humeral fractures are nondisplaced or minimally displaced. The majority of these are reliably treated nonoperatively with an acceptable functional outcome. The treatment of displaced fractures is more controversial. Consensus is lacking as to when surgery is indicated or what type of procedure to choose if surgery is elected. Displaced 3- and 4-part fractures where internal fixation is deemed unreliable have been considered an indication for hemiarthroplasty. Hemiarthroplasty gives reasonable control of pain but the resulting shoulder function and range of motion is unpredictable. The use of reverse total shoulder arthroplasty is increasing and might result in a better range of motion then hemiarthroplasty.

The aim of this multicenter study is to test the hypothesis that reverse total shoulder arthroplasty gives better shoulder function than hemiarthroplasty for displaced 3- and 4-part proximal humeral fractures.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-09-10
• Study First Submitted: 2017-12-14
• Study First Submitted QC: 2017-12-19
• Study First Posted: 2017-12-27
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-01
• Primary Completion: 2020-09-02
• Study Completion: 2020-09-02
• Last Update Posted: 2020-09-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

Not provided

Read More

Exclusion Criteria

Not provided

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Reverse Total Shoulder Arthroplasty	Reverse Total Shoulder Arthroplasty	-
Hemiarthroplasty	Hemiarthroplasty	-

Primary Outcome Measures

Name	Time	Method
Constant-Murley Score	24 months	The Constant-Murley score is used to assess shoulder function. The maximum score is 100 points. Higher scores represent better shoulder function.
WOOS (Western Ontario Osteoarthritis of the Shoulder) Index	24 months