OUTCOMES OF CONSERVATIVE TREATMENT FOR CLOSED PROXIMAL HUMERAL FRACTURES AT VIET DUC UNIVERSITY HOSPITAL

Đình Toàn Dương, Bá Hậu Nguyễn

Main Article Content

Abstract

Objective: This study aims to evaluate the outcomes of conservative treatment for proximal humeral fractures at Viet Duc Friendship Hospital and to analyze factors influencing treatment outcomes, such as fracture type, degree of displacement, bone union status, and shoulder function after treatment. Methods: A retrospective study of 57 patients from May 2023 to March 2024. Patients were diagnosed with proximal humeral fractures and underwent conservative treatment. Outcomes were assessed based on the RUSH score for bone union and the Constant score for shoulder function. Results: 68.4% of patients achieved a moderate level of bone union, with no cases of poor union. Regarding shoulder function, 89.5% of patients achieved good to excellent results, and 80.7% of patients reported no pain. Conclusion: Conservative treatment of proximal humeral fractures at Viet Duc Friendship Hospital yielded positive results, especially for patients with minimally displaced fractures and older adults.

Article Details

References

Rasmussen, S., et al. (1992). *Conservative treatment of displaced proximal humeral fractures*. Journal of Shoulder and Elbow Surgery.
2. Rangan, A., et al. (2015). *Surgical vs non-surgical treatment for adults with displaced fractures of the proximal humerus*. PROFHER trial.
3. Lefevre-Colau, M. M., et al. (2007). *Comparison of early passive motion versus traditional therapy for shoulder fractures*. Archives of Physical Medicine and Rehabilitation.
4. Martinez-Catalan, N., et al. (2023). *Conservative treatment for proximal humerus fractures: When and how?*. International Orthopaedics.
5. Court-Brown, C. M., et al. (2002). *Conservative management of proximal humeral fractures in elderly patients*. Bone & Joint Journal.