SHOULDER & ELBOW
No difference in clinical outcomes between operative and non-operative treatment for 2-part PHF
PLoS Med. 2019 Jul 18;16(7):e1002855.88 patients, aged 60 or above, with proximal humeral fractures were randomized to receive surgical intervention with a Philos locking plate or non-operative treatment. The primary outcome of interest was the Disability of the Arm, Shoulder and Hand (DASH) score at 2 years. Secondary outcomes of interest included the Constant-Murley Score, pain on a Visual Analog Scale (VAS), the 15D quality of life questionnaire, the EQ-5D questionnaire, the Oxford Shoulder Score (OSS), and the incidence of adverse events. Follow up was performed up to 2 years post-operation. Results of the study revealed no significant differences in all outcomes between the operative and non-operative groups, at all time points.
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