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

Nouraei MH, Majd DA, Zamani F - Adv Biomed Res (2014)

Bottom Line: A common type of Humerus fractures is about proximal.The self provided questionnaires were used to assess the consequences of the side effects.The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.

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.

No MeSH data available.


Related in: MedlinePlus

Rod graph of the treatment frequency percents with consideration of fracture parts in fracture of proximal Humerus patients
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Figure 2: Rod graph of the treatment frequency percents with consideration of fracture parts in fracture of proximal Humerus patients

Mentions: In two-parts fracture, methods of surgery was mostly percutaneous pins, suture, k-wire, tension band technique and in three and four-parts fractures, the methods of locking plates and Buttress plates have been used. In nonsurgical treatment, two methods of velpeau bandage and sling and sawath have been used; statistically the method of treatment (surgical or nonsurgical) had been directly related to the number of the fracture parts (P < 0.05) [Figure 2].


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

Nouraei MH, Majd DA, Zamani F - Adv Biomed Res (2014)

Rod graph of the treatment frequency percents with consideration of fracture parts in fracture of proximal Humerus patients
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4283251&req=5

Figure 2: Rod graph of the treatment frequency percents with consideration of fracture parts in fracture of proximal Humerus patients
Mentions: In two-parts fracture, methods of surgery was mostly percutaneous pins, suture, k-wire, tension band technique and in three and four-parts fractures, the methods of locking plates and Buttress plates have been used. In nonsurgical treatment, two methods of velpeau bandage and sling and sawath have been used; statistically the method of treatment (surgical or nonsurgical) had been directly related to the number of the fracture parts (P < 0.05) [Figure 2].

Bottom Line: A common type of Humerus fractures is about proximal.The self provided questionnaires were used to assess the consequences of the side effects.The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.

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.

No MeSH data available.


Related in: MedlinePlus