Actively Recruiting
Early Fixation for Diaphyseal Humeral Shaft Fractures in the Elderly Patients: A Prospective Cohort Study
Led by Fraser Orthopaedic Research Society · Updated on 2025-02-28
94
Participants Needed
1
Research Sites
13 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying older adults aged 65 years and above who have suffered a fracture in the middle part of their upper arm bone (humerus). The study aims to compare early surgical repair of these fractures with the usual non-surgical care to see which approach leads to better functional ability and psychological well-being. This is a prospective cohort study that will follow participants for one year after treatment to assess outcomes. Participants receive one of two types of care: surgical management involving open reduction internal fixation or intramedullary nailing to fix the humeral shaft fracture, or conservative management using bracing or splinting without surgery. The study groups are observed without random assignment, reflecting real-world treatment decisions. Throughout the year following treatment, participants will complete questionnaires like the American Shoulder and Elbow Score and a general health survey to assess their arm function and overall health. Researchers will also measure shoulder and elbow range of motion at around three months post-treatment. These assessments will help evaluate recovery progress and the impact of each treatment approach on patient outcomes.
CONDITIONS
Brief Title
Early Fixation for Diaphyseal Humeral Shaft Fractures in the Elderly Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diaphyseal humeral shaft fracture (middle part of the upper arm bone)
- Able to walk, with or without walking aids
- Age 65 years or older
You will not qualify if you...
- Fractures extending into the joints
- Injury to the same upper arm besides the fracture
- Vascular injury
- Brachial plexus nerve injury
- Compartment syndrome
- Pathological fractures
- Open fractures
- Periprosthetic fractures
- Body mass index over 40
- Dementia or cognitive impairment preventing outcome collection
- Issues likely to cause loss to follow-up (such as no fixed address or lack of support)
- Unable to provide informed consent
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 12 months post treatment
Participants who have suffered a humeral shaft fracture are observed for functional and psychological outcomes after their chosen treatment approach.
Visits at enrollment and follow-up assessments up to 12 months
Trial Site Locations
Total: 1 location
1
Royal Columbian Hospital
New Westminster, British Columbia, Canada, V3L 3W7
Actively Recruiting
Research Team
K
Kyrsten Butterfield, BSc
B
Bertrand Perey, MD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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