Displaced proximal humerus fracture: Joint-preserving techniques vs. Arthroplasty .
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Meta-analysis of joint preservation versus arthroplasty for the treatment of displaced 3- and 4-part fractures of the proximal humerus
Injury. 2013 Nov;44(11):1532-9Exclusive Author Interview
Dr. Gomberawalla discusses joint-preserving techniques vs. arthroplasty for displaced proximal humerus fracture.
Data from 12 studies (4 RCTs; 8 cohort studies), spanning 610 patients was analyzed in order to compare joint-preserving techniques and arthroplasty in the treatment of 3- and 4-part proximal humerus fractures. The evidence presented in this meta-analysis/systemic review indicated that joint-preserving treatments demonstrated higher Constant scores than arthroplasty. It is important to note that the included studies exhibited significant heterogeneity. Constant scores were observed to decrease significantly with increasing age, severity of fracture, and rate of osteonecrosis.
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