English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Zendy Plus

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Zendy Tools

Zendy Open

of: Rangan A, Handoll H, Brealey S, Jefferson L, Keding A, Marton BC, et al. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized controlled trial. JAMA. 2015;313:1037-1047. Question: Does surgical treatment improve patient-reported outcomes in adults with displaced fractures of the proximal humerus? Design: Randomised controlled trial with concealed allocation. Setting: Thirty-two acute hospitals in the United Kingdom. Participants: Adults presenting with a displaced fracture of the proximal humerus involving the surgical neck were included. Patients were excluded if they had an associated dislocation of the injured shoulder joint, if they had co-morbidities that precluded surgery or anaesthesia, or if illness was terminal. Randomisation of the 250 patients allocated 125 to the surgical group and 125 to the non-surgical group. Interventions: Both groups received rehabilitation care provided by physiotherapists in inpatient, outpatient and community settings. In addition, the surgical group received either internal fracture fixation or hemiarthroplasty (humeral head replacement). The nonsurgical group were given a sling for the injured arm for a suggested period of 3 weeks. Outcome measures: The primary outcome was the Oxford Shoulder Score at 6, 12 and 24 months after injury. The Oxford Shoulder Score provides a total score based on the patient’s subjective report of pain and function, ranging from 0 (worst outcome) to 48 (best outcome). Secondary outcome measures

Surgery for displaced fracture of the proximal humerus may not result in better outcomes than nonsurgical management [commentary]