Recent reports have suggested that a delay in the management of type-III supracondylar
In 1980, we developed a specially designed brace for treating supracondylar
Between 1998 and 2002, 37 neuropathies in 32 patients with a displaced supracondylar
A series of 26 children was referred to our specialist unit with a ‘pink pulseless hand’ following a supracondylar
This study aimed to evaluate the use of pin leverage in the reduction of Gartland type III supracondylar
We performed an audit of 71 children with consecutive displaced, extension-type supracondylar
We reviewed 26 patients who had had internal fixation of an open intra-articular supracondylar
We treated 15 patients with atrophic nonunion of a diaphyseal
In this study, we describe a morphological classification
for greater tuberosity
Proximal humeral fractures (PHFs) are common. There is increasing evidence that most of these fractures should be treated conservatively. However, recent studies have shown an increase in use of operative treatment. The aim of this study was to identify the trends in the incidence and methods of treatment of PHFs in Finland. The study included all Finnish inhabitants aged ≥ 16 years between 1997 and 2019. All records, including diagnostic codes for PHFs and all surgical procedure codes for these fractures, were identified from two national registers. Data exclusion criteria were implemented in order to identify only acute PHFs, and the operations performed to treat them.Aims
Methods
Secure fixation of displaced proximal
Aims. The PROximal
Aims. The aims of this study were to estimate the cost of surgical
treatment of
We used an inverted shoulder arthroplasty in 43 consecutive patients with a mean age of 78 years (65 to 97) who had sustained a three- or four-part
In 42 elderly patients, 33 women and nine men with a mean age of 72 years, we treated displaced
Between 1995 and 2000, 19 consecutive patients with
A single antegrade Rush nail was used to treat 37
Aims. A pragmatic multicentre randomised controlled trial (PROFHER)
was conducted in United Kingdom National Health Service (NHS) hospitals
to evaluate the clinical effectiveness and cost effectiveness of
surgery compared with non-surgical treatment for displaced fractures
of the proximal humerus involving the surgical neck in adults. . Methods. A cost utility analysis from the NHS perspective was performed.
Differences between surgical and non-surgical treatment groups in
costs and quality adjusted life years (QALYs) at two years were
used to derive an estimate of the cost effectiveness of surgery
using regression methods. . Results. Patients randomised to receive surgical intervention accumulated
mean greater costs and marginally lower QALYs than patients randomised
to non-surgery. The surgical intervention cost a mean of £1758 more
per patient (95% confidence intervals (CI) £1126 to £2389). Total
QALYs for the surgical group were smaller than those for non-surgery -0.0101
(95% CI -0.13 to 0.11). The probability of surgery being cost effective
was less than 10% given the current NICE willingness to pay at a
threshold of £20 000 for an additional QALY. The results were robust
to sensitivity analyses. Discussion. The results suggest that current surgical treatment is not cost
effective for the majority of displaced fractures of the proximal
humerus involving the surgical neck in the United Kingdom’s NHS. Take home message: The results of this trial do
not support the trend of increased surgical treatment for patients with
displaced
We assessed the inter- and intraobserver variation in classification systems for
The surgical treatment of three- and four-part