Comparison of Conservative and Arthroplasty Treatment for 3 or 4 Part Proximal Humerus Fractures in the Elderly

Yıl 2024, Cilt: 6 Sayı: 2, 219 - 223, 16.05.2024

Mehmet Akdemir , Ahmet Çağdaş Biçen , Ahmet Cemil Turan , Ahmet Ekin , Ali İhsan Kılıç , Meric Unal

https://doi.org/10.37990/medr.1418007

Öz

Aim: Proximal humerus fractures are common injuries in the elderly population. This study hypothesizes that arthroplasty is not superior to conservative treatment in the management of multi-part proximal humerus fractures in elderly patients.
Material and Method: Patients aged 65 and above with 3–4-part proximal humerus fractures, treated either conservatively or with arthroplasty, were included in the study. The minimum follow-up period was set at 12 months. Functional evaluations of the patients were performed using the Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) scoring system. Statistical analysis comparing the two groups was conducted using the SPSS software. The mean values of numerical data were analyzed using the Mann-Whitney U test, while categorical data were compared using the Chi-square test. A significant level of 0.05 was considered.
Results: A total of 67 patients who received adequate clinical follow-up were included in the study (50 conservative 17 arthroplasty). The average age of the patients was 76.12 years, with 9 male and 58 female patients. The average follow-up period was 22.61 months (range: 12-82). There were no statistically significant differences in age, gender, side, follow-up period, and fracture type distribution between the two groups. However, a significant difference in Q-DASH scores was observed (p<0.05).
Conclusion: In the treatment of proximal humerus fractures, even when they are multi-part fractures, conservative treatment should may be the first choice. We think that the early results of conservative treatment are better than arthroplasty.

Anahtar Kelimeler

Proximal humerus fracture , conservative treatment , shoulder arthroplasty

Etik Beyan

Suleyman Demirel University Faculty of Medicine clinical research ethics committee approval was received. Number: 72867572.050.01.04-37133

Destekleyen Kurum

none

Teşekkür

none

Kaynakça

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