Proximal Humerus Fractures: Randomized Study Between Locking Nails and Locking Plates for Neer 2 and 3 Parts

Launched by UNIVERSITY OF SAO PAULO · Nov 7, 2013

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Eligibility criteria

• Inclusion Criteria:
• • Fracture with less than 21 days;
• • Fractures of the proximal humerus classified as 2 or 3 parts of Neer, with involvement of the humeral head and one of the tuberosities;
• • Fracture with unacceptable deviation for the non-surgical treatment, according to the criteria of Neer Neer: fractures with deviation greater than 45 ° or 1 cm for the fragment of the humeral head and fractures with a deviation of the tuberosity greater than 0.5 cm;
• • Closed fractures;
• Exclusion Criteria:
• * Characteristics of the fracture:
• • fracture between the greater tubercle and the smaller, independent of the deviation;
• • Isolated fracture of the greater or lesser tuberosity
• • 4-part fractures of Neer;
• • Fracture involving the articular surface of the humeral head;
• • Fracture-dislocation of the proximal humerus
• * Other criteria:
• • Neurological injuries in the affected limb;
• • previous surgery on the affected shoulder;
• • associated fractures in the affected limb;
• • pathologic fractures;
• • lesions of the rotator cuff tendons previously diagnosed;
• • Psychiatric illnesses or inability to understand preoperative questionnaires;
• • Active infection or previous infection on the shoulder;