Related Experiment Video
Updated: Jan 9, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
807
Centenarians with proximal humeral fracture
Jeanette Koeppe1,2, Julia Sußiek3, J Christoph Katthagen4,3
1Institute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster, 48149, Germany. jeanette.koeppe@ukmuenster.de.
BMC Geriatrics
|December 1, 2025
Summary
Proximal humeral fractures (PHF) in centenarians are common in females and often treated non-operatively. Mortality is high, with nearly 60% dying within one year post-fracture.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Epidemiology
Background:
- Germany's aging population increases the number of centenarians.
- Proximal humeral fractures (PHF) in this age group are understudied.
- This study investigates PHF epidemiology, treatment, and outcomes in German centenarians.
Purpose of the Study:
- To evaluate the epidemiology of proximal humeral fractures (PHF) in patients aged 100 years and older in Germany.
- To analyze treatment patterns and outcomes for PHF in centenarians.
- To compare outcomes of centenarians with PHF to younger elderly populations.
Main Methods:
- Retrospective analysis of claims data from BARMER health insurance (2011-2022).
- Included patients aged 65+ with PHF diagnosis; centenarians (100+) compared to 65-99 age group.
- Primary endpoints: overall survival, major adverse events (MAEs), and thrombo-embolic events.
Main Results:
- 100,482 PHF patients identified; 230 were centenarians (≥100 years).
- Centenarians were predominantly female, had more comorbidities, but fewer lifestyle risks.
- Surgical treatment was less common in centenarians, with a 1-year mortality rate of 59.2%.
Conclusions:
- Centenarians with PHF are typically female, with non-operative treatment being most common.
- Operative treatment showed a low complication rate, despite high overall mortality (nearly 60% within one year).
- The direct relationship between PHF and mortality in centenarians requires further investigation.
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