Proximal Humeral Fractures Clinical Trial
Official title:
The Influence of Local Bone Status on Complications After Surgical Treatment of Proximal Humerus Fractures
The purpose of this study is to evaluate if poor bone quality increases the risk of specific types of treatment complications in patients with proximal humerus fractures treated with open reduction and angle-stable plates (Proximal Humeral Internal Locking System - PHILOS).
More than 70% of patients with a proximal humerus fracture are older than 60 years, up to
three quarters are women and the incidence of low-energy fractures increases exponentially
with age. The standard diagnostic method for classifying osteoporosis is the measurement of
Bone Mineral Density at specific body sites - hip, vertebra or distal radius. Despite the
fact that osteoporotic fractures are very frequent at the shoulder, no study investigated the
correlation between local bone quality and fracture treatment at the proximal humerus.
There is a concern among the clinicians that osteoporotic bone in proximal humerus fractures
increases the risk of treatment complications. However, to our knowledge this has not yet
been evaluated in clinical studies. One major reason for this lack of studies is the fact
that no standardized method exists for the determination of bone density at the proximal
humerus.
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