Reverse Total Shoulder Arthroplasty Versus Open Reduction Internal Fixation of 3&4 Part Proximal Humerus Fractures

Mayo Clinic3 enrolled

Overview

Will patients who suffer complex humerus fractures have better functional outcomes and less implant failure with shoulder replacement (reverse total shoulder arthroplasty, RTSA) compared to shoulder repair (open reduction and internal fixation, ORIF)?

The purpose of this study is to compare validated clinical and functional outcomes between patients who acutely present with 3 and 4-part proximal humerus fractures treated with either ORIF or RTSA.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Closed Fracture Proximal Humerus, Four Part

Interventions

Fracture repairPROCEDURE

Fracture repair with joint replacementPROCEDURE

Eligibility

Sex: ALLMin age: 70 Years

Medical Language ↔ Plain English

Inclusion * Neer 3 and 4-part proximal humerus fractures. * Age greater than and equal to 70 years old. * Functional deltoid musculature (axillary nerve intact). Exclusion * Less than 70 years old. * Dementia or inability to provide adequate follow up. * Associated injuries: injuries of ipsilateral limb, complete brachial plexopathy, vascular injury and polytrauma.

Locations (1)

Mayo Clinic in Rochester

Rochester, Minnesota, United States

Outcomes

Primary Outcomes

To measure the change using the chi-square tests for lowering the pain score of the patients

threshold of statistical significance will be set at α = 0.05.

Time frame: base line to 2 years

Data from ClinicalTrials.gov

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