Comparison of Conservative and Arthroplasty Treatment for 3 or 4 Part Proximal Humerus Fractures in the Elderly

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dc.contributor.authorAkdemir, Mehmet
dc.contributor.authorBiçen, Ahmet Çagdaş
dc.contributor.authorTuran, Ahmet Cemil
dc.contributor.authorEkın, Ahmet
dc.contributor.authorKılıç, Ali Ihsan
dc.contributor.authorUnal, Meric
dc.date.accessioned2025-03-20T09:41:22Z
dc.date.available2025-03-20T09:41:22Z
dc.date.issued2024
dc.departmentİzmir Bakırçay Üniversitesi
dc.description.abstractAim: Proximal humerus fractures are common injuries in the elderly population. This study hypothesizes that arthroplasty is not superior to conservative treatment in the management of multi-part proximal humerus fractures in elderly patients. Material and Method: Patients aged 65 and above with 3–4-part proximal humerus fractures, treated either conservatively or with arthroplasty, were included in the study. The minimum follow-up period was set at 12 months. Functional evaluations of the patients were performed using the Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) scoring system. Statistical analysis comparing the two groups was conducted using the SPSS software. The mean values of numerical data were analyzed using the Mann-Whitney U test, while categorical data were compared using the Chi-square test. A significant level of 0.05 was considered. Results: A total of 67 patients who received adequate clinical follow-up were included in the study (50 conservative 17 arthroplasty). The average age of the patients was 76.12 years, with 9 male and 58 female patients. The average follow-up period was 22.61 months (range: 12-82). There were no statistically significant differences in age, gender, side, follow-up period, and fracture type distribution between the two groups. However, a significant difference in Q-DASH scores was observed (p<0.05). Conclusion: In the treatment of proximal humerus fractures, even when they are multi-part fractures, conservative treatment should may be the first choice. We think that the early results of conservative treatment are better than arthroplasty.
dc.identifier.doi10.37990/medr.1418007
dc.identifier.endpage223
dc.identifier.issn2687-4555
dc.identifier.issue2
dc.identifier.startpage219
dc.identifier.trdizinid1259699
dc.identifier.urihttps://doi.org/10.37990/medr.1418007
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1259699
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1933
dc.identifier.volume6
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofMedical records-international medical journal (Online)
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250319
dc.subjectConservative treatment
dc.subjectshoulder arthroplasty
dc.subjectProximal humerus fracture
dc.titleComparison of Conservative and Arthroplasty Treatment for 3 or 4 Part Proximal Humerus Fractures in the Elderly
dc.typeArticle

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