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. 2014 Dec 6:3:253.
doi: 10.4103/2277-9175.146385. eCollection 2014.

Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods

Mohammad Hadi Nouraei  1 , Davoud Amirian Majd  2 , Fereshteh Zamani  3
Affiliations

Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods

Mohammad Hadi Nouraei et al. Adv Biomed Res. .

Abstract

Background: A common type of Humerus fractures is about proximal. This study aimed to compare the results of surgical and non-surgical methods in treatment the Fracture of Proximal Humerus for decisions based on high-performance and less side effect.

Materials and methods: This prospective clinical trial study was done on 114 patients 30-80 years old with proximal humerus fracture referred to the Isfahan hospital universities (Ayatollah Kashani and Al Zahra hospitals) in 2007-2012. They were divided into two groups of 57 and treated surgically or non-surgically. The self provided questionnaires were used to assess the consequences of the side effects. The patients returned for trial check up during 6 weeks, 3 months, 6 months and one year after intervention.

Result: In two parts fracture with displacement, nonsurgical treatment had lead to more complications rather than surgical treatment. In three-parts fracture non-union was seen in nonsurgical method in 6 weeks and in surgical method in 3, 6 months and one year after treatment, malunion was seen more in nonsurgical method rather than surgical method. In four-part fracture none-union results was seen more in nonsurgical method in 6 weeks, 3 months and one year and in surgical method in 6 months after treatment, mal union was seen more in nonsurgical method rather than surgical method.

Conclusion: The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.

Keywords: Closed reduction; fracture of proximal humerus; internal fixation; open reduction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
The Consort Flowchart
Figure 2
Figure 2
Rod graph of the treatment frequency percents with consideration of fracture parts in fracture of proximal Humerus patients
Figure 3
Figure 3
Rode graph of the treatment complications in 2 parts fractures with dislocation
Figure 4
Figure 4
Rode graph of the treatment complications in 3 parts fractures with dislocation
Figure 5
Figure 5
Rode graph of the treatment complications in 4 parts fractures with dislocation
See this image and copyright information in PMC

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