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Therapeutics/Prevention
Randomised controlled trial
No differences between operative and non-operative treatments of proximal humerus fractures
  1. Antti P Launonen,
  2. Ville M Mattila
  1. Department of Orthopaedics, Tampere University Hospital, Tampere, Finland
  1. Correspondence to: Dr Antti P Launonen, Department of Orthopaedics, Tampere University Hospital, Teiskontie 35, Tampere 33501, Finland; antti.launonen{at}pshp.fi

https://doi.org/10.1136/ebmed-2015-110210

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    Commentary on: Rangan A, Handoll H, Brealey S, et al., PROFHER Trial Collaborators. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized clinical trial. JAMA 2015;313:1037–47.OpenUrlCrossRefPubMed

    Context

    The operative treatment of proximal humerus fractures with locking plates has substantially increased.1 Just recently, our study group published a meta-analysis showing no difference between non-operative treatment and surgery.2 After this meta-analysis, a novel pragmatic multicentre PROFHER study was published.

    Methods

    In the PROFHER trial, 32 UK hospitals screened patients over 16 years old (n=1250), who had a displaced proximal humerus fracture, for study eligibility between 2008 and 2011. …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.