Locking intramedullary nails vs. plates for function after proximal humeral fracture .
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Locking intramedullary nails compared with locking plates for two- and three-part proximal humeral surgical neck fractures: a randomized controlled trial
J Shoulder Elbow Surg. 2016 May;25(5):695-703.72 patients with proximal humeral fracture were randomized to undergo surgical treatment via fixation with either intramedullary nails or interlocking plates for the purpose of comparing clinical outcomes throughout a 12-month follow-up period. Outcomes of interest included shoulder pain, function, shoulder passive range of motion, radiographic analysis, requirement of re-operation, and incidence of complications. Results demonstrated that the majority of clinical outcomes of interest (including pain, function, range of motion, neck-shaft angle) were comparable between study groups at 3, 6 and 12 months. However, internal rotation at 6 months, number of complications, and number of reoperations were significantly higher in the nail group when compared to the plate group.
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