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TREATMENT OF DISPLACED PROXIMAL HUMERAL FRACTURES IN ELDERLY PATIENTS
Abstract
We randomised 40 elderly patients of mean age 74 years with displaced three- or four-part fractures of the humerus to either conservative treatment or tension-band osteosynthesis. At one year and after three to five years, clinical follow-up showed no functional differences between the two groups of patients, with optimal function achieved within one year. There were major complications only in the surgically-treated group. Radiological review showed that surgery had improved the position of the fractured humeral head, but this was not reflected in improved function. Semi-rigid fixation with tension-band wiring of displaced multifragment fractures of the proximal humerus in the elderly did not improve the functional outcome when compared with conservative treatment.
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Cited by
Rangan, A., Handoll, H., Brealey, S., Jefferson, L., Keding, A., Martin, B. C., Goodchild, L., Chuang, L.-H., Hewitt, C., & Torgerson, D. (2015) · JAMA · doi:10.1001/jama.2015.1629 · Cited by 556
Bell, J.-E., Leung, B. C., Spratt, K. F., Koval, K. J., Weinstein, J. D., Goodman, D. C., & Tosteson, A. N. (2011) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/jbjs.i.01505 · Cited by 428
Olerud, P., Ahrengart, L., Ponzer, S., Saving, J., & Tidermark, J. (2011) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2010.12.018 · Cited by 401
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Metadata
- Authors
- Zyto, K., Ahrengart, L., Sperber, A., & Törnkvist, H.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 1997-05
- Volume
- 79-B
- Issue
- 3
- Pages
- 412-417
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2109910124
- Cited by
- 322
- References
- 0
- FWCI
- 5.33
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: TREATMENT OF DISPLACED PROXIMAL HUMERAL FRACTURES IN ELDERLY PATIENTS. https://app.cochat.ai/papers/10.1302/0301-620x.79b3.0790412
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- Zyto, K., Ahrengart, L., Sperber, A., & Törnkvist, H. (1997). TREATMENT OF DISPLACED PROXIMAL HUMERAL FRACTURES IN ELDERLY PATIENTS. The Journal of Bone and Joint Surgery. British volume. https://doi.org/10.1302/0301-620x.79b3.0790412
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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