An observational study in Humeral Fracture, sponsored by University Hospital, Basel, Switzerland. Active, not recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-07.
Sponsored by University Hospital, Basel, Switzerland · Observational
Radial paralysis is a well-known complication of plate osteosynthesis on the humeral shaft. At the University Hospital Basel, these fractures have been treated in an adapted procedure with long PHILOS plates using a modified technique and approach. This study is to retrospectively analyze the effectiveness of the surgical technique in relation to iatrogenic radial paralysis.
Radial paralysis is a well-known complication of plate osteosynthesis on the humeral shaft. With regard to surgical treatment, there are major differences in terms of surgical access and implant selection. At the University Hospital Basel, these fractures have been treated in an adapted procedure for about 10 years. A long Philosplatte (Synthes company) is inserted from the proximal end via a deltoido-pectoral approach. This is a minimally invasive procedure (MIPO = minimally invasive plate osteosynthesis). The standard implant is first twisted distally by approx. 45°-90° and then lies anterior to the humerus. The distal screws can then be filled via anterior stab incisions. This adapted surgical technique is adapted to the anatomical course of the radial nerve. This ensures a safe distance from the plate/access to the nerve. The nerve does not have to be explored openly and the distal row of screws can be used minimally invasively via stab incisions. This study is to retrospectively analyze the effectiveness of the surgical technique in relation to iatrogenic radial paralysis.
178 studies on the registry are indexed under Humeral Fractures; 25 are open to participants now.
This study's enrollment of 61 is below the median of 89 across 70 observational studies indexed under Humeral Fractures.
Browse Humeral Fractures studies →University Hospital, Basel, Switzerland is the lead sponsor of 989 studies on the registry; 189 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All patients aged 18 and over who underwent surgery at the University Hospital Basel between 06/2010 and 12/2020 for a proximal humeral shaft fracture
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Exclusion Criteria:
descriptive statistical analysis of datasets from patients treated with the adapted surgical technique
datasets from patients (information about hospitalizations and risk factors, traumatological and orthopedic information (precise diagnosis and classification, date, number and type of operation, complications), infectious data (detection of germs, type and duration of therapy)
Time frame: one time assessment at baseline
This study is active, not recruiting, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.
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University Hospital, Basel, Switzerland →