Psychological Health Influences the Choice of Device in Proximal Humeral Fractures

Azienda Ospedaliero-Universitaria Consorziale Policlinico di Bari

Status: Completed

Conditions: Humeral Fracture, Proximal

Treatments: Procedure: Three and four-part proximal humeral fractures' treatment

Study type: Observational

Funder types: Other

Identifiers

NCT04821180

HUMERUS-PSY

Details and patient eligibility

About

It was conducted a prospective study with a series of 63 patients treated with O.R.I.F. (Open Reduction and Internal Fixation) (group A) and with RSA (Reverse Shoulder Arthroplasty) (group B) for three and four-part proximal humeral fractures according to Neer classification system. One independent observer performed clinical and a psychological evaluation at one(T0), six(T1) and twelve months(T2) postoperatively.

The Constant's score and The Disabilities of the Arm, Shoulder and Hand (DASH score) were used for clinical evaluation, while General Anxiety Disorder-7 (GAD-7) and Caregiver Strain Scale (CSS) were used for psychological evaluation.

Enrollment: 63 patients

Sex: All

Ages: 70+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Three and four-part proximal humeral fractures according to Neer classification system;
• Patients seventy years or older;
• Shoulder surgery within one week after trauma

Exclusion criteria

• Exposed fractures;
• Pathological fractures;
• Proximal humerus fractures with metaphyseal or diaphyseal extension;
• Contraindications to surgery associated with organ dysfunctions or with coagulopathy;
• Allergy or hypersensitivity to the orthopedic implants;
• Patients who were unable to attend the different follow-ups;
• Patients with psychiatric disorders

Trial design

63 participants in 2 patient groups

patients treated by angle stable plate PHILOS

Treatment:

Procedure: Three and four-part proximal humeral fractures' treatment

patients treated by reverse total shoulder arthroplasty SMR

Treatment:

Procedure: Three and four-part proximal humeral fractures' treatment