Treatment of displaced 3-part proximal humeral fractures in elderly patients .
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Internal fixation versus nonoperative treatment of displaced 3-part proximal humeral fractures in elderly patients: A randomized controlled trial
J Shoulder Elbow Surg. 2011 Jul;20(5):747-5560 elderly patients with acute displaced 3-part fractures of the surgical neck of the humerus were randomized to receive either internal fixation with a locking plate or a non-operative treatment. The 2-year results of the study indicated that elderly patients who received internal fixation with a locking plate displayed much better functional outcomes and range of motion in comparison to those who received non-operative treatment. However, the internal fixation with a locking plate had a 14% occurrence of complications and was found to be approximately 30% more expensive than non-operative treatment.
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