Placement of shoulder replacement for complex upper arm fractures

ISRCTN ISRCTN28175069
DOI https://doi.org/10.1186/ISRCTN28175069
Submission date
12/02/2020
Registration date
21/04/2020
Last edited
20/04/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The proximal fracture of the humerus (where the upper arm joins the shoulder) is one of the most common fractures in elderly patients. The placement of shoulder prosthesis used for reconstruction of a complex proximal humerus fractures is challenging. To achieve the anatomical placement of prosthesis, the researchers introduced a new operative technique to determine the humerus height and humeral head retroversion. Herein, the researchers retrospectively investigated the clinical and radiographic outcomes of our procedure

Who can participate?
Patients treated by shoulder arthroplasty for proximal humeral fracture during the period between June 2016 and December 2018.

What does the study involve?
34 patients, treated by shoulder arthroplasty for 4-part or 3–part proximal humeral fracture during the period between June 2016 and December 2018, were enrolled in the study. Patients treated with classic method were compared to patients treated with the new method treated patients by operation time, blood loss, pain, range of motion, Constant-Murley score and radiologic features.

What are the possible benefits and risks of participating?
None (retrospective study).

Where is the study run from?
Tianjin Hospital (China)

When is the study starting and how long is it expected to run for?
June 2016 to December 2018

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Jian'an Li
jianan12210@163.com

Contact information

Mr Jian'an Li
Scientific

Tianjin Hospital
Jie Fang Rd. 406
Tianjin
300211
China

ORCiD logoORCID ID 0000-0002-0894-4060
Phone +86 18202536717
Email jianan12210@163.com

Study information

Study designRetrospective observational study
Primary study designObservational
Secondary study designNested case-control study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleAnatomic placement of shoulder prosthesis for complex proximal humerus fractures
Study objectivesThe placement of shoulder prosthesis used for reconstruction of a complex proximal humerus fractures is challenging. To achieve the anatomical placement of prosthesis, we introduced a new operative technique to determine the humerus height and humeral head retroversion. Herein, we retrospectively investigated the clinical and radiographic outcomes of our procedure.
Ethics approval(s)Approved 03/03/2020, Ethics committee of Tianjin Hospital (Jiefang Rd. 406, TianJin, China, 300202; +86 (0)22-60910673), ref: daibincn@sina.com
Health condition(s) or problem(s) studiedProximal fracture of humerus
InterventionThe patients were treated with classic method during the period between June 2016 and August 2017. The surgeons involved in this study stopped using this method and switched to our modified method from September 2017 to December 2018. Herein, we retrospectively investigated the clinical and radiographic outcomes of the two procedures. The total duration of follow-up was set as the period between operation and last follow-up.
Intervention typeProcedure/Surgery
Primary outcome measureOverall shoulder function measure using the constant-Murley score at the last follow up appointment
Secondary outcome measures1. Shoulder pain measured using Visual Analog scale at follow up appointments
2. ROM of shoulder measured at follow up appointments
3. Radiologic outcomes (anteroposterior, scapular Y, and axillary views, and the status of tuberosities is defined as healing, malunion, migration, and resorption) measured at follow up appointments
Overall study start date01/10/2019
Completion date01/10/2020

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants34
Total final enrolment34
Key inclusion criteriaPatients treated by shoulder arthroplasty for proximal humeral fracture during the period between June 2016 and December 2018
Key exclusion criteriaThe patients can not be followed up.
Date of first enrolment01/06/2016
Date of final enrolment31/12/2018

Locations

Countries of recruitment

  • China

Study participating centre

Tianjin Hospital
Jie Fang Rd. 406
Tianjin
300211
China

Sponsor information

Tianjin Hospital
Hospital/treatment centre

Jie Fang Rd. 406
Tianjin
300211
China

Phone +86 2260910608
Email 181974183@qq.com

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/03/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
Publication and dissemination planBMC musculoskeletal disorders.
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication.

Editorial Notes

20/04/2020: Trial’s existence confirmed by the ethics committee of Tianjin Hospital.