Similar functional outcome between nonoperative & operative treatment for proximal humerus fractures .
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Operative versus nonoperative treatment of proximal humeral fractures: a systematic review, meta-analysis, and comparison of observational studies and randomized controlled trials
J Shoulder Elbow Surg. 2018 Aug;27(8):1526-1534. doi: 10.1016/j.jse.2018.03.009Seven randomized controlled trials and 15 observational studies were included in this meta-analysis which compared outcomes of operative treatment and nonoperative treatment for proximal humeral fractures. Pooled analyses for functional outcome on the Constant-Murley score demonstrated no significant differences between operative and nonoperative groups. Data from observational studies suggested higher rates of major reintervention and avascular necrosis development among operative groups, though these findings were not reflected in data from randomized controlled trials.
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