How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,320 results for

Proximal Humerus Fracture

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. The influence of biplanar reduction and surgeon experience on proximal humerus fractures treated with ORIF. (Abstract)

The influence of biplanar reduction and surgeon experience on proximal humerus fractures treated with ORIF. Treatment for proximal humerus fractures remains controversial. Studies of open reduction and internal fixation (ORIF) rarely account for reduction quality, while surgeon experience and sagittal plane reduction remain unstudied. In a retrospective case series analysis of AO/OTA C-type proximal humerus fractures treated with ORIF using a locking plate, we hypothesized that reduction (...) quality would be associated with outcome, and reductions would improve with experience.We retrospectively identified 41 3- and 4-part proximal humerus fractures treated with ORIF by a single orthopaedic traumatologist. Two blinded traumatologists assessed injury and post-operative radiographs for medial calcar disruption and five measures of deformity. Major complications and functional outcome were assessed.Outcome by ASES score was similar to previous reports (mean 73.6, std dev 22.5). Eleven of 35

2020 Injury

2. Evaluation of screw placement in proximal humerus fractures regarding drilling manoeuvre and surgeon's experience. (Abstract)

Evaluation of screw placement in proximal humerus fractures regarding drilling manoeuvre and surgeon's experience. Following proximal humeral plate osteosynthesis, mechanical complication rates ranging up to 40% have been reported. The study aims to determine the influence of surgeons' experience and the technique of drilling on the complication rate.The sample involved 45 cadaveric humeri. Six orthopaedic surgeons were divided into two groups with regard to their level of experience (novice (...) versus expert group). On each humerus two different proximal humerus plates were applied. Drillings were performed either with a sharp or worn drill bit (to simulate either sharp or blunt drilling). The respective holes were drilled until the respective participant thought to have placed the drill bit subchondrally, followed by perforation of the cartilage of the humeral head. Both these values and cases of unintended penetration of the articular cavity were evaluated.Fourteen holes (3.6%) were

2020 Injury

3. Proximal humeral internal locking plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures: A randomized study. Full Text available with Trip Pro

Proximal humeral internal locking plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures: A randomized study. The aim of this study was to investigate the effectiveness of the proximal humeral internal locking system (PHILOS) plate combined with a custom neutral-position shoulder and elbow sling for proximal humerus fractures.A total of 112 patients with proximal humerus fractures were assigned randomly into 2 groups. Group A (n = 56) was treated (...) observed in mean VAS scores and mean Constant-Murley shoulder assessment scores at 1-day preoperative and postoperative day 3 between groups A and B. However, mean VAS scores and mean Constant-Murley shoulder assessment in group B were significantly improved when compared with group A at postoperative day 30 and the final follow-up. No cases of postoperative infection, loss of reduction, PHILOS break, or vascular nerve injury occurred in either group.Proximal humerus fractures treated

2019 Medicine Controlled trial quality: uncertain

4. [Proximal humeral fractures-Where do we stand today? : Comments on the "Proximal fracture of the humerus evaluation by randomization (PROFHER)" study]. (Abstract)

[Proximal humeral fractures-Where do we stand today? : Comments on the "Proximal fracture of the humerus evaluation by randomization (PROFHER)" study]. The PROFHER study is a multicenter randomized controlled trial of 250 out of 1250 patients assessed for eligibility with dislocated proximal humeral fractures with involvement of the surgical neck. These patients were randomized either for surgery or conservative treatment. Patients with comorbidities that precluded surgery, lack of mental (...) capacity, luxation fractures or clear indications for surgery from the authors' perspective were excluded. To evaluate the outcome, standardized self-assessment methods were used (patient reported outcome [PRO]), including the Oxford shoulder score (OSS). The results showed no differences in the primary and secondary self-assessment outcome scores after both 2 and 5 years. Although no significant differences could be detected between both groups, no clear statement could be deduced from the PROFHER

2018 Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen

5. Randomised controlled trial: No differences between operative and non-operative treatments of proximal humerus fractures

Randomised controlled trial: No differences between operative and non-operative treatments of proximal humerus fractures No differences between operative and non-operative treatments of proximal humerus fractures | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password (...) For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here No differences between operative and non-operative treatments of proximal humerus fractures Article Text Therapeutics/Prevention Randomised controlled trial No differences between

2016 Evidence-Based Medicine

6. Assessment of Screw Length of Proximal Humerus Internal Locking System (PHILOS) Plate for Proximal Humeral Fractures Using Three-Dimensional Computed Tomography Scan Full Text available with Trip Pro

Assessment of Screw Length of Proximal Humerus Internal Locking System (PHILOS) Plate for Proximal Humeral Fractures Using Three-Dimensional Computed Tomography Scan BACKGROUND Screw perforation and varus collapse are common complications of treatment with a PHILOS (proximal humerus internal locking system) plate for proximal humerus fractures, which are associated with improper screw length selection and lack of medial column support. The purposes of this study were: (1) to measure the proper (...) screws in males than in females, and were positively correlated with body height. Our data can be used as a reference for surgeons to reduce the number of times screws are changed intraoperatively and to reduce operation duration and minimize use of intraoperative fluoroscopy for proximal humerus fractures treated with the PHILOS plate.

2018 Medical science monitor : international medical journal of experimental and clinical research

7. A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years. (Abstract)

A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years. Fractures of the proximal humerus (PHF) represent a common injury among orthopedic department; especially for three- and four-part fractures no consensus about the best treatment is still achieved. The aim of our study was to compare clinical and radiological outcomes in patients alternatively treated with plates and screws (...) or external fixation system for a type III-IV proximal humerus fracture.Sixty-nine patients went surgery for type III-IV PHF between January 2011 and January 2014. According to the Neer classification, fractures were classified as type III in 50 cases (72,46%) and type IV in 19 cases (24,56%). 45 patients were treated with plates (65%) and 24 external fixators (35%). The patients' mean age was 62 years (range, 31-87 y). At five years, 60 patients (86,9%) were assessed using the visual analog scale (VAS

2019 Injury

8. Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results. (Abstract)

Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results. On the basis of patients' demands, bone quality, and fracture type, we developed an evidence-based treatment algorithm for proximal humerus fractures (PHF) that includes all treatment modalities from open reduction and internal fixation, hemiprosthesis, to reverse total shoulder arthroplasty. This study was done to assess its feasibility and early (...) clinical outcome.Patients with isolated PHF in 2014 and 2015 were included in this prospective study. The quality of life (EQ-5D) and the level of autonomy before injury were recorded. The fractures were classified and local bone quality was measured. When possible, patients were treated according to the algorithm. Radiographic and clinical follow-up-Constant score, subjective shoulder value, and EQ-5D-took place after 3 months and 1 year. The rate of unplanned surgery was analyzed.A total of 192

2019 Journal of Shoulder and Elbow Surgery

9. Complications after surgical treatment of proximal humerus fractures in the elderly-an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. (Abstract)

Complications after surgical treatment of proximal humerus fractures in the elderly-an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. To date, there is a lack of consensus regarding surgical treatment recommendations for complex proximal humerus fracture (PHF) patterns, especially between joint preservation and joint replacement techniques.Between 2012 and 2017, 146 patients (aged 74.1 ± 8.0 years) with complex PHF were treated (...) complication rate was 37.8% for ORIF and 22.0% for RTSA, with a revision rate of 12.1% and 5.1%, respectively, as driven primarily by persistent motion deficits. Multivariate analyses demonstrated no significant differences between the 2 procedures (P = .500). However, age was an independent protective factor against overall complications (P = .018). Risk factors for major complications in ORIF included osteoporosis, varus impaction fractures, posteromedial metaphyseal extensions <8 mm, head-shaft

2019 Journal of Shoulder and Elbow Surgery

10. Uncemented Reverse Total Shoulder Arthroplasty as Initial Treatment for Comminuted Proximal Humerus Fractures. (Abstract)

Uncemented Reverse Total Shoulder Arthroplasty as Initial Treatment for Comminuted Proximal Humerus Fractures. To determine if uncemented implants would provide similar outcomes while avoiding the complications associated with cement in the treatment of elderly patients with proximal humerus fractures (PHFs) with primary reverse total shoulder arthroplasty (RTSA).Case series SETTING:: A single Level I trauma centerPatients/Participants: A prospectively-obtained cohort of 30 patients who

2019 Journal of Orthopaedic Trauma

11. Primary reverse shoulder arthroplasty for acute proximal humerus fractures: A 5-year long term retrospective study of elderly patients. (Abstract)

Primary reverse shoulder arthroplasty for acute proximal humerus fractures: A 5-year long term retrospective study of elderly patients. Reverse shoulder arthroplasty (RSA) in complex shoulder fractures is ever more frequently. This study compares clinical and radiologic results of patients with comminuted proximal humeral fractures (PHFs) treated with RSA, with and without tuberosities grafting.Between January 2009 and June 2014, 55 patients aged ≥65 years with 3- and 4-part PHFs were treated

2019 Injury

12. Intramedullary nailing of displaced four-part fractures of the proximal humerus. (Abstract)

Intramedullary nailing of displaced four-part fractures of the proximal humerus. Intramedullary nailing is already established technique for the treatment of two and three-part fractures of proximal humerus. The aim of the study was to prospectively evaluate the efficacy and functional outcome after treatment of four-part fractures of proximal humerus with Multiloc proximal humeral nail.prospective monocentric cohort study.single level 1 traumacenter.From February 2011 to March 2016, 40 (...) for the treatment of four-part fractures of proximal humerus. In experienced hands provides nailing osteosynthesis similar results as reconstruction with locking plates. Appropriate reduction of fracture fragments is the key for good functional result.Level 2b - monocentric prospective cohort study.Copyright © 2019 Elsevier Ltd. All rights reserved.

2019 Injury

13. Operative versus non-operative treatment for 2-part proximal humerus fracture: A multicenter randomized controlled trial. Full Text available with Trip Pro

Operative versus non-operative treatment for 2-part proximal humerus fracture: A multicenter randomized controlled trial. Although increasingly used, the benefit of surgical treatment of displaced 2-part proximal humerus fractures has not been proven. This trial evaluates the clinical effectiveness of surgery with locking plate compared with non-operative treatment for these fractures.The NITEP group conducted a superiority, assessor-blinded, multicenter randomized trial in 6 hospitals (...) in Finland, Estonia, Sweden, and Denmark. Eighty-eight patients aged 60 years or older with displaced (more than 1 cm or 45 degrees) 2-part surgical or anatomical neck proximal humerus fracture were randomly assigned in a 1:1 ratio to undergo either operative treatment with a locking plate or non-operative treatment. The mean age of patients was 72 years in the non-operative group and 73 years in the operative group, with a female sex distribution of 95% and 87%, respectively. Patients were recruited

2019 PLoS medicine Controlled trial quality: predicted high

14. Failure to restore the calcar and locking screw cross-threading predicts varus collapse in proximal humerus fracture fixation. (Abstract)

Failure to restore the calcar and locking screw cross-threading predicts varus collapse in proximal humerus fracture fixation. Varus collapse is a common failure mode of proximal humerus fracture (PHF) fixation. The purpose of this study was to analyze predictors of varus collapse of PHF after open reduction, internal fixation (ORIF).All patients who underwent ORIF of a PHF from January 2008 to July 2018 were identified. Known predictors of fixation failure were assessed, including calcar (...) distance, calcar ratio, and calcar restoration. Additionally, the presence of cross-threaded screws was determined. The primary outcome analyzed was varus collapse of the fracture defined as a change in neck shaft angulation to less than 120°.There were 112 patients identified who underwent ORIF of a PHF that met inclusion criteria. The population was 75.0% female (84/112), average age was 62.5 ± 10.4 years (range 40.0-87.9), and average body mass index was 28.0 ± 5.5 (17.5-46.4). There were 17

2019 Journal of Shoulder and Elbow Surgery

15. Reverse shoulder arthroplasty for proximal humerus fracture: a more complex episode of care than for cuff tear arthropathy. (Abstract)

Reverse shoulder arthroplasty for proximal humerus fracture: a more complex episode of care than for cuff tear arthropathy. The purpose of this investigation is to identify the in-hospital and 30-day postoperative complications for reverse total shoulder arthroplasty (RTSA) performed because of proximal humerus fracture (PHFx) vs. cuff tear arthropathy (CTA), and determine whether acute fracture is associated with differences in complications after RTSA.The National Surgical Quality Improvement

2019 Journal of Shoulder and Elbow Surgery

16. Secondary Perforation Risk in Plate Osteosynthesis of Unstable Proximal Humerus Fractures: A Biomechanical Investigation of the Effect of Screw Length. (Abstract)

Secondary Perforation Risk in Plate Osteosynthesis of Unstable Proximal Humerus Fractures: A Biomechanical Investigation of the Effect of Screw Length. Secondary perforation of screws into the joint surface is a commonly reported mechanical fixation failure mode in locked plating of proximal humerus fractures (PHF). This study investigated the influence that screws tip to joint distance (TJD) has on the biomechanical risk of secondary screw perforation and the stability of PHF. Ten pairs (...) of cadaveric proximal humeri with a wide range of bone mineral density were used. Each specimen was osteotomized and instrumented with the PHILOS plate, simulating a highly unstable 3-part fracture. Bones were randomized into a long screw group (LSG) with 4 mm TJD, or a short screw group (SSG) with 8 mm TJD. A custom biomechanical setup was used to test the samples to failure cyclically with a constant valley load and an increasing ramp. The number of cycles to the initial screw loosening event

2019 Journal of Orthopaedic Research

17. Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures. (Abstract)

Prospective outcome analysis following tenodesis of the long head of the biceps tendon along with locking plate osteosynthesis for proximal humerus fractures. Fractures of the proximal humerus are often associated with lesions of the long head of the biceps (LHB) tendon. This often leads to prolonged shoulder pain. Hence, many surgeons decide to perform a tenodesis of the LHB tendon simultaneous to ORIF. The purpose of this study was to evaluate the postoperative outcome after interlocking (...) plate fixation and biceps tenodesis for treating proximal humerus fractures.56 patients (38 females, 18 male) suffering from proximal humerus fractures who underwent surgery were retrospectively included. 26 of these 56 patients (19% Neer II, 38% Neer III, 43% Neer IV) were treated with simultaneous tenodesis of the LHB tendon when ORIF using interlocking plate fixation was performed. 30 patients (17% Neer II, 40% Neer III, 43% Neer IV) served as control group receiving only interlocking plate

2019 Injury

18. The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures. (Abstract)

The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures. Hemiarthroplasty of the shoulder is a well established treatment for proximal humerus fractures not amenable to open reduction internal fixation. However, orthopedic surgeons have recently increased utilization of reverse total shoulder arthroplasty (RTSA) in the treatment of these injuries. The purpose of this study was to evaluate the use of hemiarthroplasty and RTSA between 2009 (...) and 2016 for the treatment of proximal humerus fractures within a large United States integrated healthcare system.A descriptive study was conducted using our integrated healthcare system's Shoulder Arthroplasty Registry. Shoulder arthroplasty cases performed for an acute proximal humerus fracture between the years of 2009 and 2016 were identified. Revision rates were determined, as well as changes in age and gender distribution of the cohort during the study period.In 2015, RTSA utilization surpassed

2019 Injury

19. Effect of Tuberosity Healing on Clinical Outcomes in Elderly Patients Treated With a Reverse Shoulder Arthroplasty for 3- and 4-Part Proximal Humerus Fractures. (Abstract)

Effect of Tuberosity Healing on Clinical Outcomes in Elderly Patients Treated With a Reverse Shoulder Arthroplasty for 3- and 4-Part Proximal Humerus Fractures. To evaluate tuberosity union rate and clinical outcome after 3- and 4-part proximal humerus fractures in the elderly.Retrospective, multicenter database cohort study.Level I and Level II trauma centers.Fifty-five patients older than 65 years had insertion of reverse shoulder arthroplasty (RTSA) for OTA/AO 11-B and 11-C proximal humerus (...) - and 4-part proximal humerus fractures in the elderly can result in a high tuberosity union rate. Greater tuberosity healing significantly influences ER and ER-type activities that are not apparent by analysis of the overall metrics studied.Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

2019 Journal of Orthopaedic Trauma

20. The Treatment of Proximal Humerus Fracture Using Internal Fixation with Fixed-angle Plates. Full Text available with Trip Pro

The Treatment of Proximal Humerus Fracture Using Internal Fixation with Fixed-angle Plates. Implants made of various types of material can be used for the internal fixation of fractures. Carbon fiber reinforced polyetheretherketone (CFR-PEEK) is a radiolucent material that may have advantageous handling properties compared with titanium implants.Seventy-six patients with proximal humerus fractures requiring surgery were randomized to receive a fixed-angle plate made out of either titanium (...) imputations confirmed this result (27.4 ± 19.2 versus 28.5 ± 16.6). The OSS and SST scores were likewise improved in both groups. All patients displayed full bony consolidation 12 weeks after surgery. In no case was material failure, secondary dislocation, or screw perforation seen. No difference was seen in the maintenance of postoperative reposition between the CFR-PEEK group and the titanium group.The internal fixation of proximal humerus fractures with either CFR-PEEK or titanium led to clinical

2019 Deutsches Arzteblatt international

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>