The Nordic DeltaCon Trial for Displaced Proximal Humeral Fractures in Elderly (DeltaCon)
Proximal Humeral Fracture
About this trial
This is an interventional treatment trial for Proximal Humeral Fracture focused on measuring Displaced, Non-Operative treatment, Reversed Total Shoulder Prosthesis
Eligibility Criteria
Inclusion Criteria:
Low energy AO/OTA group 11-B1.1, 11-B1.2 and 11-C1.1, 11-C3.1. Both B and C type includes subgroups: Displaced [2], Impacted [3] or Non impacted [4] from the universal modifiers list.
Exclusion Criteria:
Radiographic Mal-inclination Less than; varus 30°or valgus 45° Less than 50% contact between head fragment and meta-/diaphysis Head split fractures with more than 10% of the articular surface in the main head fragment.
Head split fractures (group 11-C3.2 and 11-C3.3) with more than 10% of the articular surface in the main head fragment.
Dislocation or fracture-dislocation of the gleno-humeral joint Pathological fracture
General
- Refuse to participate
- Age under 65 years of age, or over 85 years of age
- Serious poly-trauma or additional surgery
- Non-independent, drug/alcohol abuse or institutionalized (low co-operation)
- Contra-indications for surgery
- Does not understand written and spoken guidance in local languages
- Previous fracture with symptomatic sequelae in either shoulder
- Patients living outside the hospital's catchment area
Sites / Locations
- Aarhus University Hospital, Division of OrthopaedicsRecruiting
- Tampere University Hospital, Division of OrthopaedicsRecruiting
- Oslo University Hospital, Division of OrthopaedicsRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
Operative treatment
Non-Operative treatment
Operative treatment of the displaced proximal humeral fracture with a reversed total shoulder prothesis (Delta prosthesis) using a stadardized deltopectoral approach, bone block grafting and thread cerclages of the tubercles. Rehabilitation with standardized physiotherapy guideline and self exercise protocol
Rehabilitation with standardized physiotherapy guideline and self exercise protocol