Operative Plate Fixation Versus Conservative Treatment for Acute, Displaced Fractures of Humeral Shaft

Peking University

Status: Unknown

Conditions: Humeral Fractures

Treatments: Procedure: Conservative Treatment; Procedure: Operative Plate Fixation

Study type: Observational

Funder types: Other

Identifiers

NCT03358173

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Details and patient eligibility

About

Conservative Treatment Versus Operative Plate Fixation for Acute, Displaced Fractures of the Distal Clavicle

Full description

From Jane 2015 to October 2016, patients with displaced humeral shaft fractures are retrospectively included in this study, they were treated with either operative plate or conservative treatment. All the patients are regularly followed up in clinic. Then we will compare the union rate and clinical functional outcome(DASH score) between the 2 groups at 1 year after surgery.

Enrollment: 52 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Men or women aged 18 to 65 years of age Completely displaced ,closed fracture of humeral shaft confirmed by radiograph Fractures within 1 month post injury Provision of informed consent

Exclusion criteria

Pathological fractures Non-displaced (cortical contact) fractures Open fractures Presence of vascular or nerve injury Fractures more than 1 month post-injury Limited life expectancy due to significant medical co-morbidity Medical contraindication to surgery Inability to comply with rehabilitation or form completion Likely problems, in the judgement of the investigators, with maintaining follow-up (i.e. patients with no fixed address, patients not mentally competent to give consent, etc.)

Trial design

52 participants in 2 patient groups

Conservative Treatment

Description:

Standard protocol for conservative treatment will consist of the implementation of a sling and patient comfort. Pendulum or gentle Range of Motion (ROM) shoulder exercises may be implemented at any time as dictated by the attending surgeon.

Treatment:

Procedure: Conservative Treatment

Operative Plate Fixation

Description:

The operating surgeon will determine the positioning of the patient for surgery. ORIF of the humeral shaft fracture will be carried out

Treatment:

Procedure: Operative Plate Fixation