Early Fixation for Diaphyseal Humeral Shaft Fractures in the Elderly Patients
Early Fixation for Diaphyseal Humeral Shaft Fractures in the Elderly Patients: A Prospective Cohort Study
Fraser Orthopaedic Research Society
94 participants
Nov 7, 2024
OBSERVATIONAL
Conditions
Summary
The study purpose is to evaluate whether early surgical fixation of upper arm fractures in elderly patients' age 65 years and older improves patient functional and psychological outcome scores compared to the standard of care with non-operative management.
Eligibility
Inclusion Criteria2
- Diaphyseal humeral shaft fracture (as defined as superior border of insertion of pectoralis major proximally, to the distal diaphysis)
- Ambulatory (with or without the use of walking aides)
Exclusion Criteria12
- Fractures with intra-articular extension
- Ipsilateral upper extremity injury
- Patients with vascular injury
- Brachial plexus injury
- Compartment syndrome
- Pathological fractures
- Open fractures
- Periprosthetic fracture
- BMI \>40
- Dementia or cognitive impairment that inhibits the collection of outcome measures
- Likely problems, in the judgement of the investigator, with maintaining follow-up (i.e. patients with no fixed address, not mentally competent to give consent, intellectually challenged, patients without adequate support, etc.)
- Inability to provide informed consent
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Interventions
Participants will complete the following outcome measures American Shoulder and Elbow Surgeons Evaluation Questionnaire - upper limb function score 12-Item Short Form Survey - general health questionnaire
Shoulder and Elbow Range of Motion collected at the time of radiographic union
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06605482