Shoulder: Trauma

Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial

Olerud P, Ahrengart L, Ponzer S, et al (Stockholm Söder Hosp, Sweden) J Shoulder Elbow Surg 20:1025-1033, 2011^§

Abstract

Background

The aim of the study was to report the 2-year outcome after a displaced 4-part fracture of the proximal humerus in elderly patients randomized to treatment with a hemiarthroplasty (HA) or nonoperative treatment.

Patients and Methods

We included 55 patients, mean age 77 (range, 58-92) years, 86% being women. Follow-up examinations were done at 4, 12, and 24   months. The main outcome measures were health-related quality of life (HRQoL) according to the EQ-5D and the DASH and Constant scores.

Results

At the final 2-year follow-up the HRQoL was significantly better in the HA group compared to the nonoperative group, EQ-5D_index score 0.81 compared to 0.65 (P

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