TRAUMA
AAOS2019: Similar PROMs, lower reoperation rate with nail vs. plate for 3-/4-part humerus fractures
75 patients with a 3- or 4-part humerus fracture were randomized to fixation with either a locking intramedullary nail or locking compression plate. Patients were assessed over a minimum of 24 months after surgery for clinical scores, radiographic outcome, and incidence of complications and reoperation. Clinical scores, including visual analog pain scores, the Constant Score, and the American Shoulder and Elbow Surgeons (ASES) score, demonstrated no significant differences between the two groups. Rates of malunion/nonunion and avascular necrosis development were also similar between groups. A lower rate of hardware removal due to humeral impingement was observed among patients treated with the nail in comparison to patients treated with the plate.
Unlock the full ACE Report
You have access to {0} free articles per month.Click below to unlock and view this {1}
Unlock NowCritical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidence content for just $1.99 per week.
Already have an account? Log in
Subscribe to "The Pulse"
Evidence-Based Orthopaedics direct to your inbox.
{0} of {1} free articles
Become an OrthoEvidence Premium Member. Expand your perspective with high-quality evidence.
Upgrade Now
