{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:13:28Z","timestamp":1790997208894,"version":"4.1.0"},"reference-count":26,"publisher":"SLACK, Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>The purpose of this single-center, randomized, controlled trial was to report on the 2-year outcomes of proximal humerus fractures in elderly patients treated with open reduction and internal fixation (ORIF) with either a locking plate or shoulder hemiarthroplasty.<\/jats:p>\n          <jats:p>\n            Thirty-two patients (87% women) with a mean age of 71.9 years (range, 67\u201386 years) were treated with ORIF with either a locking plate or shoulder hemiarthroplasty after shoulder injury. The main outcome measures were the Constant score, Disabilities of the Arm, Shoulder and Hand (DASH) score, and health-related quality of life (HRQoL) according to the EQ-5D (EuroQol Group, Rotterdam, The Netherlands). At final 2-year follow-up, DASH and pain scores favored the shoulder hemiarthroplasty group. Mean flexion was 129\u00b0 in the shoulder hemiarthroplasty group and 117\u00b0 in the ORIF group (\n            <jats:italic>P<\/jats:italic>\n            =.27), and mean abduction was 123\u00b0 in the shoulder hemiarthroplasty group and 111\u00b0 in the ORIF group (\n            <jats:italic>P<\/jats:italic>\n            =.41). In the shoulder hemiarthroplasty group, the EQ-5D index score decreased from 0.85\u00b10.21 before injury to 0.65\u00b10.14 at 4 months postoperatively. The score was 0.79\u00b10.24 at 12 months postoperatively and 0.81\u00b10.17 at 24 months postoperatively.\n          <\/jats:p>\n          <jats:p>The results of this study indicate an advantage in functional outcomes and HRQoL favoring shoulder hemiarthroplasty compared with ORIF with a locking plate, although most outcomes were not significantly different.<\/jats:p>","DOI":"10.3928\/01477447-20120822-19","type":"journal-article","created":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T16:52:18Z","timestamp":1346950338000},"source":"Crossref","is-referenced-by-count":68,"title":["Internal Fixation Versus Shoulder Hemiarthroplasty for Displaced 4-part Proximal Humeral Fractures in Elderly Patients"],"prefix":"10.3928","volume":"35","author":[{"given":"Ming","family":"Cai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Tao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunxi","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaohua","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00167-X"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000198718.91223.ca"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052060-00002"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/000164701753542023"},{"issue":"4","key":"e_1_3_1_6_2","first-page":"CD000434","article-title":"Interventions for treating proximal humeral fractures in adults","author":"Handoll HH","year":"2003","unstructured":"Handoll HH, Gibson JN, Madhok R. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2003; (4):CD000434.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181920e5b"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.09.005"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.01.034"},{"key":"e_1_3_1_10_2","first-page":"357","article-title":"Indications for prosthetic replacement in proximal humeral fractures","volume":"54","author":"Phipatanakul WP","year":"2005","unstructured":"Phipatanakul WP, Norris TR. Indications for prosthetic replacement in proximal humeral fractures. 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A clinical method of functional assessment of the shoulder. 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