Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 3 Treatment failures by treatment modalities
Treatment modality (n = total number in group) | No. of patients with failure | % of treatment cohort with failure (%) | Indication for treatment conversion | Treatment conversions |
|---|---|---|---|---|
Non-operative (n = 96) | 13 | 13.5 | n = 12 secondary fragment displacement n = 1 persistent pain | n = 8 conversions to locked plating (n = 1 tuberosity fx, n = 2 subcapital 2-part fx, n = 3 3-part fx, n = 2 complex fx) n = 5 conversions to locked nailing (n = 4 subcapital 2-part fx, n = 1 3-part fx) |
Locked nailing (n = 45) | 3 | 6.7 | n = 3 loss of reduction | n = 1 conversion to locked plating (subcapital 2-part fx), n  = 2 conversions to reverse shoulder prosthesis (n = 1 3-part fx, n = 1 complex fx) |
Locked plating (n = 211) | 15 | 7.1 | n = 8 loss of reduction n = 5 fracture sequelae with pain n = 1 secondary decompensation n = 1 avascular humeral head necrosis | n = 3 conversions to locked nailing (n = 1 subcapital 2-part fx, n = 1 3-part fx, n = 1 complex fx) n = 4 conversions to hemi-prosthesis (n = 1 3-part fx, n = 3 complex fx) n = 8 conversions to reverse prosthesis (n = 5 3-part fx, n = 3 complex fx) |
Hemi-fracture prosthesis (n = 29) | 4 | 13.8 | n = 4 decompensation of hemi-prosthesis | n = 4 conversion to reverse prosthesis (n = 4 complex fx) |