Brouwer, M.E. (2016) Outcomes of operative and non-operative treatment of three- and four part humeral fractures in elderly: a 10-year retrospective study. thesis, Medicine.
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Abstract
Fractures of the proximal humerus are a common type of fracture, which to a considerable degree affect older patients. Still many uncertainties dominate the field of proximal humeral fractures and yet no consensus about the appropriate treatment has been established. Especially for complex fractures with three or four displaced bone parts both surgery and nonoperative treatment are considerable options. So far, no difference in outcome between operative and nonoperative treatment has been found. This retrospective study evaluated the outcome of 64 patients treated for a 3- or 4-part proximal humeral fracture in the UMCG between 2004 and 2014. Patients filled in questionnaires regarding health related quality of life (HRQoL), shoulder function, pain and social participation. Comparison between the operative and nonoperative treated patients showed no significant difference regarding HRQoL, shoulder function and pain. The level of social participation was in favour of the operative treated patients. Significantly more complications and reinterventions occurred after operative treatment, with a complication occurrence of 28% and a reintervention rate of 22% versus 7% and 2% in the nonoperative treated patients. In conclusion, this study found no convincing evidence that operative treatment produces significantly better results than nonoperative treatment in elderly with 3- and 4-part proximal humeral fractures.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Faculty supervisor: and Wendt, dr K.W. and Second supervisor: and Reininga, dr I.H.F. and Location: and Department of Trauma Surgery, University Medical Center of G |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:06 |
| Last Modified: | 25 Jun 2020 11:06 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2569 |
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