Early Surgical Fixation Versus Non-Operative Care for Upper Arm Fractures in People 65 and Older A One-Year Follow-Up Study

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.

Early Fixation for Diaphyseal Humeral Shaft Fractures in the Elderly Patients