Author Interviews, Orthopedics, PLoS / 12.08.2019
Treating Shoulder Fracture with a Sling, Not Surgery
MedicalResearch.com Interview with:
Prof. Inger Mechlenburg, PhD, DMSc
Orthopaedic Department, Aarhus University Hospital
Department of Clinical Medicine
Aarhus University
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Traditionally, displaced 2-part humerus fractures have been operatively treated using a metal plate and screws. However, there are no studies showing a benefit of operation of those fractures. Therefore, we were interested in investigating, in a direct comparison between operation and non-operative treatment, whether there was a difference in patient-reported function, pain and health-related quality of life two years after the fracture.
In this Nordic research collaboration http://nitep.eu/en/ between Finland, Sweden, Estonia and Denmark we showed that there is no difference in functional results between operative and non-operative treatment in persons aged 60 or more with displaced proximal humerus fractures.
In the study, only fractures with a significant displacement between bone fragments were included. In the non-operative treatment group, patients used a collar and cuff sling for three weeks and underwent instructed physiotherapy. (more…)