UnknownNot Applicable

Plate Fixation Versus Intramedullary Nailing of 3 and 4 Part Proximal Humerus Fractures

Norway79 participantsStarted 2016-10

Plain-language summary

The purpose of the project is to compare the management of 3 and 4 part proximal humerus fractures (PHF) with an angular stable plate (Philos) with that of an intramedullary nail (Multiloc) in light of complications, radiological, economical, functional and clinical outcome.

Who can participate

Age range18 Years

SexALL

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Inclusion criteria

✓. Patients \> 18 years
✓. Severe displacement, defined as malposition of at least 45⁰ of angular deviation in valgus or 30⁰ in varus in true frontal projection, regardless of whether the fracture is impacted or not. Fractures with more than 50% displacement of the head against the surgical neck
✓. The greater or lesser tubercles must be fractured in a 3 or 4-part fracture. The degree of displacement is not critical for inclusion.

Exclusion criteria

✕. Fracture more than 3 weeks' old
✕. Caput humeri just a thin shell or split
✕. Ipsilateral damage that will influence the recovery and scoring systems
✕. Incapability to protect osteosynthesis, i.e. use of crutches because of injury to lower extremity.
✕. Pathological fracture
✕. Neurovascular injury
✕. Open fracture
✕. Noncompliance

What they're measuring

The Disabilities of the Arm, Shoulder and Hand (DASH) Score (questionnaire) Disability of the arm, shoulder and arm score (DASH score)

Timeframe: 5 years

Trial details

NCT IDNCT02944058

SponsorUniversity Hospital, Akershus

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2023-10-24

View on ClinicalTrials.gov More Shoulder Fractures trials