Elbow Hemiarthroplasty Versus ORIF for Distal Humeral Fractures
Elbow Hemiarthroplasty Versus Open Reduction and Internal Fixation for AO/OTA Type C2 and C3 Fractures of Distal Humerus in Patients Aged 50 Years or Above; a Randomized Controlled Trial
Herlev and Gentofte Hospital
44 participants
Feb 1, 2020
INTERVENTIONAL
Conditions
Summary
This is a randomized control trial comparing the outcome of ORIF (open reduction and internal fixation) with EHA (elbow hemiarthroplasty) for distal humeral fractures in patients aged 50 years or above.
Eligibility
Inclusion Criteria3
- Distal humeral fracture AO/OTA type C2 or C3 confirmed by plain radiographs with 2 perpendicular views and CT scan.
- ASA score 1-3 and physically fit for surgery.
- Age of 50 years or above.
Exclusion Criteria5
- Patients unable to follow the rehabilitation protocol or answer the Danish questionnaires because of physical or cognitive inabilities as evaluated by the recruiting surgeon.
- Significant elbow osteoarthritis as evaluated by the recruiting surgeon based on plain radiographs and CT scan.
- Fractures that are older than 6 weeks.
- Other associated elbow fractures.
- Pathological fractures or relevant elbow pathology.
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Interventions
Latitude anatomical elbow hemiarthroplasty (WRIGHT -Memphis, Tennessee)
Double plating (Synthes - Switzerland and West Chester, Pennsylvania, United States)
Locations(1)
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NCT04163172