title: Comparing the treatment results of proximal humerus fracture based on surgical or nonsurgical methods.
abstract: BACKGROUND
  A common type of Humerus fractures is about proximal. This study aimed to compare the results of surgical and non-surgical methods in treatment the Fracture of Proximal Humerus for decisions based on high-performance and less side effect.
  
  
  METHODS
  This prospective clinical trial study was done on 114 patients 30-80 years old with proximal humerus fracture referred to the Isfahan hospital universities (Ayatollah Kashani and Al Zahra hospitals) in 2007-2012. They were divided into two groups of 57 and treated surgically or non-surgically. The self provided questionnaires were used to assess the consequences of the side effects. The patients returned for trial check up during 6 weeks, 3 months, 6 months and one year after intervention.
  
  
  RESULTS
  In two parts fracture with displacement, nonsurgical treatment had lead to more complications rather than surgical treatment. In three-parts fracture non-union was seen in nonsurgical method in 6 weeks and in surgical method in 3, 6 months and one year after treatment, malunion was seen more in nonsurgical method rather than surgical method. In four-part fracture none-union results was seen more in nonsurgical method in 6 weeks, 3 months and one year and in surgical method in 6 months after treatment, mal union was seen more in nonsurgical method rather than surgical method.
  
  
  CONCLUSIONS
  The surgery in three and four parts fractures had fewer complications in the patients under 50 but not in the elders.
authors.affiliation: Department of Orthopedic, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Mohammad Hadi
authors.initials: MH
authors.lastname: Nouraei
authors.affiliation: Medical Resident of Orthopedy, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Davoud Amirian
authors.initials: DA
authors.lastname: Majd
authors.affiliation: Department of Nursing and Midwifery, Islamic Azad University Khorasgan, Isfahan, Iran.
authors.forename: Fereshteh
authors.initials: F
authors.lastname: Zamani
keywords: Closed reduction; fracture of proximal humerus; internal fixation; open reduction