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A review of current surgical practice in the operative treatment of proximal humeral fractures: Does the PROFHER trial demonstrate a need for change?
Open accessAbstract
Objectives: The PROximal Fracture of the Humerus: Evaluation by Randomisation (PROFHER) trial has recently demonstrated that surgery is non-superior to non-operative treatment in the management of displaced proximal humeral fractures. The objective of this study was to assess current surgical practice in the context of the PROFHER trial in terms of patient demographics, injury characteristics and the nature of the surgical treatment. Methods: A total of ten consecutive patients undergoing surgery for the treatment of a proximal humeral fracture from each of 11 United Kingdom hospitals were retrospectively identified over a 15 month period between January 2014 and March 2015. Data gathered for the 110 patients included patient demographics, injury characteristics, mode of surgical fixation, the grade of operating surgeon and the cost of the surgical implants. Results: A majority of the patients were female (66%, 73 of 110). The mean patient age was 62 years (range 18 to 89). A majority of patients met the inclusion criteria for the PROFHER trial (75%, 83 of 110). Plate fixation was the most common mode of surgery (68%, 75 patients), followed by intramedullary fixation (12%, 13 patients), reverse shoulder arthroplasty (10%, 11 patients) and hemiarthroplasty (7%, eight patients). The consultant was either the primary operating surgeon or supervising the operating surgeon in a large majority of cases (91%, 100 patients). Implant costs for plate fixation were significantly less than both hemiarthroplasty (p < 0.05) and reverse shoulder arthroplasty (p < 0.0001). Implant costs for intramedullary fixation were significantly less than plate fixation (p < 0.01), hemiarthroplasty (p < 0.0001) and reverse shoulder arthroplasty (p < 0.0001). Conclusions: Our study has shown that the majority of a representative sample of patients currently undergoing surgical treatment for a proximal humeral fracture in these United Kingdom centres met the inclusion criteria for the PROFHER trial and that a proportion of these patients may, therefore, have been effectively managed non-operatively. Cite this article: Mr B. J. F. Dean. A review of current surgical practice in the operative treatment of proximal humeral fractures: Does the PROFHER trial demonstrate a need for change? Bone Joint Res 2016;5:178–184. DOI: 10.1302/2046-3758.55.2000596.
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Since ProFHER's publication, its findings have guided treatment and further research.
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Cites
Measuring nominal scale agreement among many raters.
Fleiss, J. L. (1971) · Psychological Bulletin · doi:10.1037/h0031619 · Cited by 8,733
Epidemiology of adult fractures: A review
Court-Brown, C. M., & Caesar, B. (2006) · Injury · doi:10.1016/j.injury.2006.04.130 · Cited by 3,676
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., Leung, B. C., Spratt, K. F., Koval, K. J., Weinstein, J. D., Goodman, D. C., & Tosteson, A. N. A. (2011) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.i.01505 · Cited by 426
Sebastiá-Forcada, E., Cebrián-Gómez, R., Lizaur-Utrilla, A., & Gil-Guillén, V. F. (2014) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2014.06.035 · Cited by 377
Changing incidence and residual lifetime risk of common osteoporosis-related fractures
Lauritzen, J. B., Schwarz, P., Lund, B., McNair, P., & Transbøl, I. (1993) · Osteoporosis International · doi:10.1007/bf01623273 · Cited by 249
Reverse Total Shoulder Arthroplasty Versus Hemiarthroplasty for Proximal Humeral Fractures
Ferrel, J. R., Trinh, T. Q., & Fischer, R. A. (2014) · Journal of Orthopaedic Trauma · doi:10.1097/bot.0000000000000224 · Cited by 182
Rate of proximal humeral fractures in older Finnish women between 1970 and 2007
Kannus, P., Palvanen, M., Niemi, S. T., Sievänen, H. T., & Parkkari, J. P. (2008) · Bone · doi:10.1016/j.bone.2008.12.007 · Cited by 113
Huttunen, T. T., Launonen, A. P., PIHLAJAMÄKI, H. K., Kannus, P., & Mattila, V. M. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-261 · Cited by 85
Ponce, B. A., Oladeji, L. O., Rogers, M. E., & Menendez, M. E. (2014) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2014.08.016 · Cited by 79
Treatment of proximal humerus fractures in the elderly
Launonen, A. P., Lepola, V., Flinkkilä, T. E., Laitinen, M., Paavola, M. P., & Malmivaara, A. O. V. (2015) · Acta Orthopaedica · doi:10.3109/17453674.2014.999299 · Cited by 79
Reverse shoulder arthroplasty versus hemiarthroplasty for treatment of proximal humerus fractures
Schairer, W. W., Nwachukwu, B. U., Lyman, S. L., Craig, E. V., & Gulotta, L. V. (2015) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2015.03.018 · Cited by 78
Changing epidemiology of adult fractures in Scotland
Court-Brown, C. M., Biant, L., Bugler, K. E., & McQueen, M. M. (2014) · Scottish Medical Journal · doi:10.1177/0036933013518148 · Cited by 61
Launonen, A. P., Lepola, V., Flinkkilä, T. E., Strandberg, N., Ojanperä, J., Rissanen, P., Malmivaara, A. V., Mattila, V. M., Elo, P., Viljakka, T., et al. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-167 · Cited by 59
Acevedo, D. C. A., Mann, T., Abboud, J. A., Getz, C. L., Baumhauer, J. F., & Voloshin, I. (2014) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2014.01.005 · Cited by 49
Li, Y., Zhao, L., Zhu, L., Li, J., & Chen, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0075464 · Cited by 46
Ong, T. I. W., Sahota, O., & Marshall, L. (2015) · Journal of Orthopaedic Science · doi:10.1007/s00776-015-0700-1 · Cited by 13
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Interventions for treating proximal humeral fractures in adults
Handoll, H. H., Elliott, J. C., Thillemann, T. M., Aluko, P., & Brorson, S. (2022) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000434.pub5 · Cited by 178
The Global Burden of Surgical Management of Osteoporotic Fractures
Tarrant, S. M., & Balogh, Z. J. (2020) · World Journal of Surgery · doi:10.1007/s00268-019-05237-y · Cited by 63
Lu, V., Jegatheesan, V., Patel, D., & Dömös, P. (2023) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2023.03.006 · Cited by 51
Navarro, C. M., Brolund, A., Ekholm, C., Heintz, E., Ekström, E. H., Josefsson, P. O., Leander, L., Nordström, P., Zidén, L., & Stenström, K. (2018) · PLoS ONE · doi:10.1371/journal.pone.0207815 · Cited by 43
Oppebøen, S., Wikerøy, A. K. B., Fuglesang, H. F. S., Dolatowski, F. C., & Randsborg, P. (2018) · Journal of Orthopaedic Surgery and Research · doi:10.1186/s13018-018-0906-y · Cited by 39
Nelson, P. A., Kwan, C. C., Tjong, V. K., Terry, M. A., & Sheth, U. (2020) · Journal of Shoulder and Elbow Arthroplasty · doi:10.1177/2471549220949731 · Cited by 37
Impact of the PROFHER trial findings on surgeons’ clinical practice: An online questionnaire survey
Jefferson, L., Brealey, S., Handoll, H., Keding, A., Kottam, L., Sbizzera, I., & Rangan, A. (2017) · Bone & Joint Research · doi:10.1302/2046-3758.610.bjr-2017-0170 · Cited by 33
Ajdari, N., Tempelaere, C., Masouleh, M. I., Abel, R. L., Delfosse, D., Emery, R. J., Dini, D., & Hansen, U. (2020) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2019.09.041 · Cited by 24
Katthagen, J. C., Köppe, J., Stolberg-Stolberg, J., Rischen, R., Freistuehler, M., Faldum, A., & Raschke, M. C. E. J. (2023) · Age and Ageing · doi:10.1093/ageing/afad097 · Cited by 19
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Ghert, M., & McKee, M. (2016) · Bone & Joint Research · doi:10.1302/2046-3758.510.2000654 · Cited by 18
Radiographic patterns of osteoporotic proximal humerus fractures
Carbone, S., Mezzoprete, R., Papalia, M., Arceri, V., Carbone, A., & Gumina, S. (2018) · European Journal of Radiology · doi:10.1016/j.ejrad.2017.12.025 · Cited by 15
The Translated Proximal Humerus Fracture: A Comparison of Operative and Nonoperative Management
Cosic, F., Kirzner, N., Edwards, E. R., Page, R. S., Kimmel, L. A., & Gabbe, B. J. (2023) · Journal of Orthopaedic Trauma · doi:10.1097/bot.0000000000002612 · Cited by 14
Outcomes following arthroplasty for proximal humeral fractures
Antonios, T., Bakti, N., Phadkhe, A., Gulihar, A., & Singh, B. (2019) · Journal of Clinical Orthopaedics and Trauma · doi:10.1016/j.jcot.2019.07.008 · Cited by 14
Bagga, R., Cay, P., Ricketts, D., Roper, T., & Phadnis, J. (2021) · Shoulder & Elbow · doi:10.1177/1758573220950235 · Cited by 12
Outcomes following fixation for proximal humeral fractures
Antonios, T., Bakti, N., Nzeako, O., Mohanlal, P., & Singh, B. (2019) · Journal of Clinical Orthopaedics and Trauma · doi:10.1016/j.jcot.2019.01.029 · Cited by 12
Acklin, Y. P., Zderic, I., Inzana, J. A., Grechenig, S., Schwyn, R., Richards, R. G., & Gueorguiev, B. G. (2018) · Bone and Joint Research · doi:10.1302/2046-3758.76.bjr-2017-0356.r1 · Cited by 10
Norman, J. G., Brealey, S., Keding, A., Torgerson, D. J., & Rangan, A. (2019) · The Bone & Joint Journal · doi:10.1302/0301-620x.102b1.bjj-2020-0546.r1 · Cited by 10
The reporting of outcomes in randomised controlled trials
Ghert, M. A. (2017) · Bone and Joint Research · doi:10.1302/2046-3758.610.bjr-2017-0296 · Cited by 7
Complications of proximal humeral fractures
Maresca, A., Senesi, L., Cerbasi, S., & Pascarella, R. (2021) · LO SCALPELLO-OTODI Educational · doi:10.36149/0390-5276-201 · Cited by 1
Cosic, F., Kirzner, N., Edwards, E. R., Page, R. S., Kimmel, L. A., & Gabbe, B. J. (2023) · Trauma · doi:10.1177/14604086231183586 · Cited by 1
Deciphering data: How should clinical trials change your clinical practice?
O’Marr, J., Miclau, T., & Morshed, S. (2023) · Injury · doi:10.1016/j.injury.2023.110928 · Cited by 1
O’Driscoll, C. S., Vukanic, D., Daly, T. G., Molony, D. C., Jemelik, P., Pomeroy, E., O’Briain, D., & Cleary, M. S. (2024) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-024-03625-5 · Cited by 1
Reverse Shoulder Arthroplasty: How It Works
Toussaint, B., & Bahurel, J. (2018) · Springer eBooks · doi:10.1007/978-3-662-56504-9_21
Bernstein, B. P., du Plessis, J., Laubscher, M., & Maqungo, S. (2019) · The South African Orthopaedic Journal (SAOJ) · doi:10.17159/2309-8309/2019/v18n2a4
Metadata
- Authors
- Dean, B. J. F., Jones, L. D., Palmer, A. J. R., Macnair, R. D., Brewer, P. E., Jayadev, C., Wheelton, A. N., Ball, D. E. J., Nandra, R. S., Aujla, R. S., Sykes, A. E., & Carr, A. J.
- Affiliations
- Nuffield Orthopaedic Centre (GB)
- John Radcliffe Hospital (GB)
- Morriston Hospital (GB)
- Northern General Hospital (GB)
- Health Education North West (GB)
- University Hospitals Birmingham NHS Foundation Trust (GB)
- Corresponding author
- Dean, B. J. F.
- Venue
- Bone & Joint Research
- Published
- 2016-05
- Volume
- 5
- Issue
- 5
- Pages
- 178-184
- ISSN
- 2046-3758 (ISSN-L)
- PMC
- PMC4921043
- OpenAlex
- W2383694525
- Cited by
- 24
- References
- 17
- Citations by year
- 2024: 1 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 1
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Bone and Joint Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (ACF-2015-13-017, NF-SI-0611-10216, ACF-2014-09-013)
- Medical Research Council (MC_PC_14103, MC_PC_12020)
- Topics
- Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
- Health Sciences › Medicine › Surgery › Hip and Femur Fractures
- Keywords
- proximal humerus fracture, surgical fixation, plate fixation, intramedullary fixation, reverse shoulder arthroplasty, hemiarthroplasty, conservative treatment, implant costs, surgical practice patterns, displaced fractures, patient demographics, injury characteristics, United Kingdom hospitals
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