Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Dec 2012
Randomized Controlled Trial Comparative StudyHemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial.
Four-part fractures of the proximal humerus account for 3% of all humeral fractures and are regarded as the most difficult fractures to treat in the elderly. Various authors recommend nonoperative treatment or hemiarthroplasty, but the literature is unclear regarding which provides better quality of life and function. ⋯ Level I, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.