Nonsurgical treatment is recommended for proximal humeral fractures in elderly patients .
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2014;2(1):32 PLoS One. 2013 Sep 16;8(9):e75464Three randomized control trials with a total of 130 patients were pooled in this meta-analysis to compare non-operative treatment methods versus open reduction and internal fixation for proximal humerus fractures in the elderly. No differences were found in Constant Scores, nonunion rate, risk of avascular necrosis of the humeral head or osteoarthritis. The results of this study do not encourage the surgical treatment for older patients with fractures of the proximal humerus.
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