Letter to the editor on"comparison of locking plate and conservative treatment in elderly patients with displaced proximal humerus fractures".

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-03-06 DOI:10.1007/s00264-025-06476-6

Rongsheng Huang, Shaoying Tang

引用次数: 0

Abstract

We discuss the study by Uğur Bezirgan et al., titled "Comparison of Locking Plate and Conservative Treatment in Elderly Patients with Displaced Proximal Humerus Fractures." The authors are commended for their prospective study, which offers valuable insights into the comparison of locking plate fixation and conservative treatment. The study found no significant difference in functional recovery between the two groups; however, the locking plate group exhibited a higher incidence of complications. We express concerns regarding the potential selection bias arising from the non-randomized allocation of treatments and suggest that not all elderly patients may be suitable candidates for the locking plate fixation approach. Furthermore, the study highlights a lack of patient feedback regarding quality of life, and we recommend that future research incorporate subjective evaluations to provide a more comprehensive understanding of the treatment's effectiveness.

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我们讨论了 Uğur Bezirgan 等人的研究，题为 "锁定钢板与保守治疗在肱骨近端移位骨折老年患者中的比较"。作者的前瞻性研究为锁定钢板固定与保守治疗的比较提供了宝贵的见解，值得称赞。研究发现，两组患者在功能恢复方面没有明显差异；但锁定钢板组的并发症发生率更高。我们对非随机分配治疗方法可能导致的选择偏差表示担忧，并认为并非所有老年患者都适合锁定钢板固定方法。此外，该研究还强调缺乏患者对生活质量的反馈，我们建议未来的研究纳入主观评价，以便更全面地了解治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.