Hemiarthroplasty versus nonoperative treatment of displaced 4-part humeral fractures
55 elderly patients with displaced 4-part fractures of the proximal humerus were randomized to receive either hemiarthroplasty (HA) or nonoperative treatment. At 2 year follow-up it was found that quality of life was significantly better in patients who received HA. Additionally, patients in the HA group had significantly better pain scores in comparison to nonoperative treatment. However, the two interventions did not differ in regards range of motion and flexion.
J Shoulder Elbow Surg; 2011; 20(7):1025-1033