Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods

Background: A common type of Humerus fractures is about proximal. This study aimed to compare the results of surgical and non-surgical methods in treatment the Fracture of Proximal Humerus for decisions based on high-performance and less side effect. Materials and Methods : This prospective clinica...

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Main Authors: Mohammad Hadi Nouraei, Davoud Amirian Majd, Fereshteh Zamani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=253;epage=253;aulast=Nouraei
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author Mohammad Hadi Nouraei
Davoud Amirian Majd
Fereshteh Zamani
author_facet Mohammad Hadi Nouraei
Davoud Amirian Majd
Fereshteh Zamani
author_sort Mohammad Hadi Nouraei
collection DOAJ
description Background: A common type of Humerus fractures is about proximal. This study aimed to compare the results of surgical and non-surgical methods in treatment the Fracture of Proximal Humerus for decisions based on high-performance and less side effect. Materials and Methods : This prospective clinical trial study was done on 114 patients 30-80 years old with proximal humerus fracture referred to the Isfahan hospital universities (Ayatollah Kashani and Al Zahra hospitals) in 2007-2012. They were divided into two groups of 57 and treated surgically or non-surgically. The self provided questionnaires were used to assess the consequences of the side effects. The patients returned for trial check up during 6 weeks, 3 months, 6 months and one year after intervention. Result: In two parts fracture with displacement, nonsurgical treatment had lead to more complications rather than surgical treatment. In three-parts fracture non-union was seen in nonsurgical method in 6 weeks and in surgical method in 3, 6 months and one year after treatment, malunion was seen more in nonsurgical method rather than surgical method. In four-part fracture none-union results was seen more in nonsurgical method in 6 weeks, 3 months and one year and in surgical method in 6 months after treatment, mal union was seen more in nonsurgical method rather than surgical method. Conclusion: The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.
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spelling doaj.art-3c2800307c9a4c93a1b7be283b22e9902022-12-22T00:02:10ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752277-91752014-01-013125325310.4103/2277-9175.146385Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methodsMohammad Hadi NouraeiDavoud Amirian MajdFereshteh ZamaniBackground: A common type of Humerus fractures is about proximal. This study aimed to compare the results of surgical and non-surgical methods in treatment the Fracture of Proximal Humerus for decisions based on high-performance and less side effect. Materials and Methods : This prospective clinical trial study was done on 114 patients 30-80 years old with proximal humerus fracture referred to the Isfahan hospital universities (Ayatollah Kashani and Al Zahra hospitals) in 2007-2012. They were divided into two groups of 57 and treated surgically or non-surgically. The self provided questionnaires were used to assess the consequences of the side effects. The patients returned for trial check up during 6 weeks, 3 months, 6 months and one year after intervention. Result: In two parts fracture with displacement, nonsurgical treatment had lead to more complications rather than surgical treatment. In three-parts fracture non-union was seen in nonsurgical method in 6 weeks and in surgical method in 3, 6 months and one year after treatment, malunion was seen more in nonsurgical method rather than surgical method. In four-part fracture none-union results was seen more in nonsurgical method in 6 weeks, 3 months and one year and in surgical method in 6 months after treatment, mal union was seen more in nonsurgical method rather than surgical method. Conclusion: The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=253;epage=253;aulast=NouraeiClosed reductionfracture of proximal humerusinternal fixationopen reduction
spellingShingle Mohammad Hadi Nouraei
Davoud Amirian Majd
Fereshteh Zamani
Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
Advanced Biomedical Research
Closed reduction
fracture of proximal humerus
internal fixation
open reduction
title Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
title_full Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
title_fullStr Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
title_full_unstemmed Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
title_short Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
title_sort comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods
topic Closed reduction
fracture of proximal humerus
internal fixation
open reduction
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=253;epage=253;aulast=Nouraei
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AT davoudamirianmajd comparingthetreatmentresultsofproximalhumerusfracturebasedonsurgicalornonsurgicalmethods
AT fereshtehzamani comparingthetreatmentresultsofproximalhumerusfracturebasedonsurgicalornonsurgicalmethods