Minimally Invasive of Proximal Humerus Fractures With Internal Fixation Improves Shoulder Function in Older Patients
Humerus Fractures
About this trial
This is an interventional treatment trial for Humerus Fractures
Eligibility Criteria
Inclusion Criteria:
- Neer II or III fractures as shown by X-ray examination
- Presentation with soft tissue swelling of the shoulder, limited mobility, tenderness, unusual activity, or a palpable sense of bone rubbing
- Unilateral traumatic fracture
- Over 60 years of age
- Admission to the hospital within 6 hours after injury
- Informed consent from patients or their relatives
Exclusion Criteria:
- Concomitant injuries involving pathological fracture, blood vessel injury, or nerve injury
- Head-split humerus fractures
- Severe comminuted proximal humerus fractures involving > 40% of the articular surface of the humeral head
- Disturbance of consciousness, cerebral infarction, cancer, severe medical complications (such as heart, lung, or kidney failure; severe hypertension; diabetes; or blood diseases)
- History of shoulder or elbow dysfunction
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
locking compression plate group
conventional locking plate group
In the experimental group, patients will undergo closed reduction via a lateral approach to the shoulder followed by locking compression plate fixation using a minimally invasive technique.The locking compression plate is purchased from Xiamen Dabo Yingjing Medical Devices Co., Ltd., Xiamen, China.
Patients in the control group will be subjected to closed reduction via a lateral approach to the shoulder followed by conventional steel plate fixation using a minimally invasive technique. The conventional locking plate is purchased from Xiamen Dabo Yingjing Medical Devices Co., Ltd., Xiamen, China.