Surgical treatment of humeral-shaft fractures: A register-based study in Finland between 1987 and 2009

Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whethe...

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Vydáno v:	Injury Ročník 43; číslo 10; s. 1704 - 1708
Hlavní autoři:	Huttunen, Tuomas T., Kannus, Pekka, Lepola, Vesa, Pihlajamäki, Harri, Mattila, Ville M.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Netherlands Elsevier Ltd 01.10.2012
Témata:	Adult Age Distribution Bone Plates - statistics & numerical data Epidemiology Female Finland - epidemiology Follow-Up Studies Fracture Fixation, Internal - statistics & numerical data Fracture Healing Humans Humeral fractures Humeral Fractures - epidemiology Humeral Fractures - surgery Humeral shaft Incidence Length of Stay - statistics & numerical data Male Middle Aged Orthopedics Registries Sex Distribution Surgical treatment Finland Humeral shaft Surgical treatment Epidemiology Humeral fractures
ISSN:	0020-1383, 1879-0267, 1879-0267
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Abstract	Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whether surgical treatment of humeral-shaft fractures has changed in Finland between 1987 and 2009. We assessed the number and incidence of surgically treated humeral-shaft fractures in each year and recorded the type of surgery used. The study covered the entire adult (>18 years) population in Finland over the 23-year period from 1 January 1987 to 31 December 2009. Data on surgically treated humeral-shaft fractures were obtained from the nationwide National Hospital Discharge Registry. During the 23-year study period, a total of 4469 surgical operations of the humeral shaft were performed in Finland. The male patients were markedly younger (49 years) than their female counterparts (63 years). The incidence of surgical treatment nearly doubled in men and over tripled in women. Between 1987 and 2009, there occurred a clear shift towards plating in the surgical treatment of humeral-shaft fractures. A marked increase in the surgical treatment of humeral-shaft fractures was seen in Finland in 1987–2009. Fracture plating increased during the first decade of the millennium. Since high-quality evidence for treatment of humeral-shaft fractures is absent, critical evaluation of the chosen treatment options is needed.
AbstractList	Summary Introduction Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whether surgical treatment of humeral-shaft fractures has changed in Finland between 1987 and 2009. We assessed the number and incidence of surgically treated humeral-shaft fractures in each year and recorded the type of surgery used. Patients and methods The study covered the entire adult (>18 years) population in Finland over the 23-year period from 1 January 1987 to 31 December 2009. Data on surgically treated humeral-shaft fractures were obtained from the nationwide National Hospital Discharge Registry. Results During the 23-year study period, a total of 4469 surgical operations of the humeral shaft were performed in Finland. The male patients were markedly younger (49 years) than their female counterparts (63 years). The incidence of surgical treatment nearly doubled in men and over tripled in women. Between 1987 and 2009, there occurred a clear shift towards plating in the surgical treatment of humeral-shaft fractures. Conclusions A marked increase in the surgical treatment of humeral-shaft fractures was seen in Finland in 1987–2009. Fracture plating increased during the first decade of the millennium. Since high-quality evidence for treatment of humeral-shaft fractures is absent, critical evaluation of the chosen treatment options is needed. Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whether surgical treatment of humeral-shaft fractures has changed in Finland between 1987 and 2009. We assessed the number and incidence of surgically treated humeral-shaft fractures in each year and recorded the type of surgery used.INTRODUCTIONHumeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whether surgical treatment of humeral-shaft fractures has changed in Finland between 1987 and 2009. We assessed the number and incidence of surgically treated humeral-shaft fractures in each year and recorded the type of surgery used.The study covered the entire adult (>18 years) population in Finland over the 23-year period from 1 January 1987 to 31 December 2009. Data on surgically treated humeral-shaft fractures were obtained from the nationwide National Hospital Discharge Registry.PATIENTS AND METHODSThe study covered the entire adult (>18 years) population in Finland over the 23-year period from 1 January 1987 to 31 December 2009. Data on surgically treated humeral-shaft fractures were obtained from the nationwide National Hospital Discharge Registry.During the 23-year study period, a total of 4469 surgical operations of the humeral shaft were performed in Finland. The male patients were markedly younger (49 years) than their female counterparts (63 years). The incidence of surgical treatment nearly doubled in men and over tripled in women. Between 1987 and 2009, there occurred a clear shift towards plating in the surgical treatment of humeral-shaft fractures.RESULTSDuring the 23-year study period, a total of 4469 surgical operations of the humeral shaft were performed in Finland. The male patients were markedly younger (49 years) than their female counterparts (63 years). The incidence of surgical treatment nearly doubled in men and over tripled in women. Between 1987 and 2009, there occurred a clear shift towards plating in the surgical treatment of humeral-shaft fractures.A marked increase in the surgical treatment of humeral-shaft fractures was seen in Finland in 1987-2009. Fracture plating increased during the first decade of the millennium. Since high-quality evidence for treatment of humeral-shaft fractures is absent, critical evaluation of the chosen treatment options is needed.CONCLUSIONSA marked increase in the surgical treatment of humeral-shaft fractures was seen in Finland in 1987-2009. Fracture plating increased during the first decade of the millennium. Since high-quality evidence for treatment of humeral-shaft fractures is absent, critical evaluation of the chosen treatment options is needed. Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical treatment. The purpose of this study was to assess the trends of the surgical treatment of humeral-shaft fractures. The study determined whether surgical treatment of humeral-shaft fractures has changed in Finland between 1987 and 2009. We assessed the number and incidence of surgically treated humeral-shaft fractures in each year and recorded the type of surgery used. The study covered the entire adult (>18 years) population in Finland over the 23-year period from 1 January 1987 to 31 December 2009. Data on surgically treated humeral-shaft fractures were obtained from the nationwide National Hospital Discharge Registry. During the 23-year study period, a total of 4469 surgical operations of the humeral shaft were performed in Finland. The male patients were markedly younger (49 years) than their female counterparts (63 years). The incidence of surgical treatment nearly doubled in men and over tripled in women. Between 1987 and 2009, there occurred a clear shift towards plating in the surgical treatment of humeral-shaft fractures. A marked increase in the surgical treatment of humeral-shaft fractures was seen in Finland in 1987–2009. Fracture plating increased during the first decade of the millennium. Since high-quality evidence for treatment of humeral-shaft fractures is absent, critical evaluation of the chosen treatment options is needed.
Author	Huttunen, Tuomas T. Pihlajamäki, Harri Kannus, Pekka Mattila, Ville M. Lepola, Vesa
Author_xml	– sequence: 1 givenname: Tuomas T. surname: Huttunen fullname: Huttunen, Tuomas T. email: tuomas.huttunen@uta.fi organization: Department of Anesthesia, Valkeakoski Regional Hospital, Valkeakoski, Finland – sequence: 2 givenname: Pekka surname: Kannus fullname: Kannus, Pekka organization: Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland – sequence: 3 givenname: Vesa surname: Lepola fullname: Lepola, Vesa organization: Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland – sequence: 4 givenname: Harri surname: Pihlajamäki fullname: Pihlajamäki, Harri organization: Division of Orthopaedics and Traumatology, Seinäjoki Central Hospital, Seinäjoki, Finland – sequence: 5 givenname: Ville M. surname: Mattila fullname: Mattila, Ville M. organization: Division of Orthopaedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation, Tampere University Hospital, Tampere, Finland
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Snippet	Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively, some need surgical... Summary Introduction Humeral-shaft fractures are not uncommon osteoporotic fractures. While most of the humeral-shaft fractures can be treated conservatively,...
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SubjectTerms	Adult Age Distribution Bone Plates - statistics & numerical data Epidemiology Female Finland - epidemiology Follow-Up Studies Fracture Fixation, Internal - statistics & numerical data Fracture Healing Humans Humeral fractures Humeral Fractures - epidemiology Humeral Fractures - surgery Humeral shaft Incidence Length of Stay - statistics & numerical data Male Middle Aged Orthopedics Registries Sex Distribution Surgical treatment
Title	Surgical treatment of humeral-shaft fractures: A register-based study in Finland between 1987 and 2009
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