Proximal humeral fractures in patients over 60 years old: a randomized study of nonoperative versus operative treatment with locking plate.

この研究はインパクトが大きい可能性があると判断されました。 OEのAIによるハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文の影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することができ、読者は将来の診療を形成する可能性が最も高い論文に焦点を当てることができます。

研究概要

80 patients (older than 60 years) with displaced proximal humeral fractures were randomized in a 1:1 ratio to receive either nonoperative treatment or operative treatment with locking plate fixation. Four patients randomized to surgery did not undergo the operative intervention due to preoperative clinical contraindications. At 24 months, 71 patients completed follow-up and were included in the analysis, with 40 patients in the nonoperative group and 31 patients in the operative group. The primary outcome was the Constant–Murley score at 24 months. Secondary outcomes included the Individual Relative Constant Score, American Shoulder and Elbow Surgeons (ASES) score, and Single Assessment Numeric Evaluation (SANE) score assessed at 3, 6, 12, and 24 months, as well as complication rates and need for additional surgery. Outcomes were assessed up to 24 months post-injury. Overall, the results of the study revealed no statistically significant differences in shoulder function between nonoperative and operative treatment groups at any follow-up time point, while complication rates were numerically higher in the operative group.