Mohit Bhandari1, Gary Matthys, Michael D McKee. 1. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. bhandari@sympatico.ca
Abstract
BACKGROUND: Four part fractures of the proximal humerus represent approximately 5% of all proximal humeral fractures. Treatment options for these displaced fractures include nonoperative treatment, open reduction and internal fixation, and arthroplasty. Presently, there is a lack of consensus on the optimal management strategy for this complex injury. OBJECTIVE: To determine the effect of alternate devices in the management of four part proximal humerus fractures in patients on the risks of reoperation, need for implant removal at 1 year, and pain.
BACKGROUND: Four part fractures of the proximal humerus represent approximately 5% of all proximal humeral fractures. Treatment options for these displaced fractures include nonoperative treatment, open reduction and internal fixation, and arthroplasty. Presently, there is a lack of consensus on the optimal management strategy for this complex injury. OBJECTIVE: To determine the effect of alternate devices in the management of four part proximal humerus fractures in patients on the risks of reoperation, need for implant removal at 1 year, and pain.
Authors: Dennis Den Hartog; Esther M M Van Lieshout; Wim E Tuinebreijer; Suzanne Polinder; Ed F Van Beeck; Roelf S Breederveld; Maarten W G A Bronkhorst; Jan Peter Eerenberg; Steven Rhemrev; W Herbert Roerdink; Gerrit Schraa; Harm M Van der Vis; Thom P H Van Thiel; Peter Patka; Stefaan Nijs; Niels W L Schep Journal: BMC Musculoskelet Disord Date: 2010-05-25 Impact factor: 2.362