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September 23, 2025Journal of Clinical MedicineOpen Access

The Value of Early Active Rehabilitation on Long-Term Functional Outcomes in Neer Type-4 Valgus Impacted Proximal Humeral Fractures Treated with Open Reduction and Internal Fixation: A Retrospective Cohort Study

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Authors

HZHaiyan ZhouLCLiming Cheng

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Overview

Retrospective cohort study demonstrates early active rehabilitation improves functional outcomes, suggesting new protocols are needed.

Key Points

  • Early active rehabilitation significantly improved the 24-month Constant–Murley score compared to conventional methods.
  • Patients in the early active group reported lower VAS pain scores and greater active range of motion at all time points.
  • Fracture healing time was shorter in patients receiving early active rehabilitation after surgery.
  • No significant differences were found in complication rates between early active and conventional rehabilitation groups.

Cite This Study

Zhou et al. (2025) studied this question.

synapsesocial.com/papers/68d43ee5713b0b5dfea7ea30https://doi.org/10.3390/jcm14186660
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effectiveness of open reduction internal fixation versus revision arthroplasty around Vancouver type B2 periprosthetic femoral fractures: a systematic review and meta-analysis2025
  2. 2Open reduction and internal fixation in Vancouver Type B2 fractures - A retrospective single-center experience with a minimum follow-up of 6 months2025
  3. 3Functional Outcome of Surgical Management of Three-part and Four-part Proximal Humerus Fractures Using PHILOS Plate: A Prospective Study2025
  4. 4Accelerated rehabilitation after proximal hamstring avulsion repair is safe and effective: Outcomes from randomized controlled trial of two different rehabilitation regimes2025
  5. 5Comparative outcomes of in-situ fixation and fixation after reduction in geriatric patients with severe valgus-impacted femoral neck fractures: a retrospective multicenter (TRON group) study.2025