Operative versus non-operative treatment for 2-part proximal humerus fracture: A multicenter randomized controlled trial.

ABSTRACT:

Background

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.

Methods and findings

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

SUBMITTER: Launonen AP 

PROVIDER: S-EPMC6638737 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature