Not provided
Not provided
Not provided
Not provided
A publication released shortly after start indicating intervention not always beneficial. Fewer surgical cased thereafter.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Research question:
Do patients using a neutral rotation brace post surgery have improved functional outcome and external rotation of the shoulder compared to current best practice using a polysling holding the proximal humerus in internal rotation?
Primary objectives:
To compare post-operative functional outcome scores obtained at 6 weeks, 9 weeks, 3 months and 1 year. (Scores at 6 weeks and 3 months in clinical review and postal scores at 9 weeks and 1 year) between patients held in neutral versus current standard rotation. These will be compared to scores taken pre-operatively.
Benefits:
There may be no extra benefits to patients from this trial however the results from the trial will help improve treatment for future patients at this hospital, and others across the country.
Risks/disadvantages:
The operation is the same in both groups studied, the study is investigating the use of the two different slings. The post-operative treatment is also the same, and all patients on the trial will receive the same amount of physiotherapy. It isn't anticipated that there will be any additional risk from this trial.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neutral Rotation Brace | Other | Neutral Rotation Brace |
|
| Standard polysling (Current practice) | Other | Standard polysling (Current practice) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Operative procedure to fix proximal humeral | Procedure | Operative fixation by the shoulder team at Torbay Hospital |
|
| Measure | Description | Time Frame |
|---|---|---|
| Oxford score | Patients subjective assessment of pain and Activities of Daily Living (ADL) impairment. The Oxford Shoulder Questionnaire has been shown to correlate well with both the Constant Score and the SF36 assessment and to be sensitive to surgical intervention. The Oxford Shoulder Questionnaire accumulates to a total score with a maximum of value of 60, in which four pain related questions make up 33% of this total whilst the remaining 67% is derived from eight ADL related questions. The highest scores are attributed to the worst outcomes in the Oxford Shoulder Questionnaire | 1 Year post surgery |
| DASH - the Disabilities of the Arm, Shoulder and Hand | DASH Scoring system was developed to assess the level of disability for any patient with any condition affecting the upper limb by covering domains including symptoms, physical function and psychological function | 1 year post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Range of movement(flexion, extension, abduction, external and internal rotation) | Assessed by Physiotherapists. Measurement will be performed using a goniometer to accurately assess range of movement | 6 weeks, 3 months and 1 year |
| SF-12 Score |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Veronica Conboy, FRCS (Orth) | South Devon Healthcare | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Torbay District General Hospital | Torquay | TQ2 7AA | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35727196 | Derived | Handoll HH, Elliott J, Thillemann TM, Aluko P, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database Syst Rev. 2022 Jun 21;6(6):CD000434. doi: 10.1002/14651858.CD000434.pub5. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Neutral Rotation Brace | Device | Performed at the end of the surgical procedure at Torbay Hospital |
|
| Physiotherapy review | Other | Physiotherapy review on day of surgery, and post-surgery at 6 weeks, 3 months and 1 year. |
|
| Functional outcome forms filled in | Other |
|
|
| Postal functional outcome scores | Other | Sent to patient at 9 weeks post surgery |
|
| Post-operative Radiographs | Other | Performed at 6 weeks and 3 months at shoulder clinic appointment at Torbay Hospital |
|
This survey form has been shown to yield summary physical and mental health outcome scores
| 1 Year post surgery |
| Range of movement (flexion, extension, abduction and internal rotation) | Conducted by physiotherapists. Measured using a goniometer to accurately assess range of movement | 6 weeks, 6 months and 1 year |
| Time to union of fracture | X-Rays taken | 6 weeks and 3 Months |
| Return to work post surgery | 1 year follow up |
| Re-operations and Complications | Documented at various outpatient appointments | Throughout 1st year as applicable at outpatient appointments |
| ID | Term |
|---|---|
| D012784 | Shoulder Fractures |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
Not provided
Not provided