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.
Unlock the full article
Get unlimited access to OrthoEvidence with a free trial
Start TrialCritical 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 continue reading this full article
Register Now
Subscribe to "The Pulse"
Evidence-Based Orthopaedics direct to your inbox.
