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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

Rode graph of the treatment complications in 3 parts fractures with dislocation
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Figure 4: Rode graph of the treatment complications in 3 parts fractures with dislocation

Mentions: In three-parts fracture, none-union was seen in nonsurgical method in 6 weeks after treatment and mal union was more in none surgical treatment so the surgical method was better than nonsurgical, but some complications like decreasing of ROM, infection, delayed union, neurovascular problems, joints stiffness, osteo necrosis, loss of fixation, was more significant in surgical method than nonsurgical, statically as per the Fisher exact test there was only a meaningful relation in mal union in one year after treatment (P < 0.05) [Figure 4].


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

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

Rode graph of the treatment complications in 3 parts fractures with dislocation
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Rode graph of the treatment complications in 3 parts fractures with dislocation
Mentions: In three-parts fracture, none-union was seen in nonsurgical method in 6 weeks after treatment and mal union was more in none surgical treatment so the surgical method was better than nonsurgical, but some complications like decreasing of ROM, infection, delayed union, neurovascular problems, joints stiffness, osteo necrosis, loss of fixation, was more significant in surgical method than nonsurgical, statically as per the Fisher exact test there was only a meaningful relation in mal union in one year after treatment (P < 0.05) [Figure 4].

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