Conducting a good traumatological study is challenging. In addition to careful planning and implementation, there must be a sufficient number of suitable patients. In terms of patient volumes, none of the Nordic hospitals are large enough to conduct such a large project on their own within a reasonable time. In addition to cultural aspects, the Nordic countries are united by public health care and comprehensive health care registers. For this reason, Nordic cooperation allows for the possibility to carry out more extensive clinical trials.

In 2011, our NITEP research team launched an RCT study that compared surgery and the conservative treatment of the fracture of the upper part of the humerus. We have created a functioning Nordic cooperation network and research infrastructure. In the future, NITEP aims to study the treatment of the most common and economically significant fractures by means of a randomized, advanced research trial (RCT) series.


Our latest publications

Operative versus non-operative treatment for two-part proximal humerus fracture: a multicenter randomized controlled trial.
Antti P Launonen, Bakir O Sumrein, Aleksi Reito, Vesa Lepola, Juha Paloneva, Kenneth B Jonsson, Olof Wolf, Peter Ström, Hans E Berg, Li Felländer-Tsai, Karl-Åke Jansson, Daniel Fell, Inger Mechlenburg, Kaj Døssing, Helle Østergaard, Aare Märtson, Minna K Laitinen, Ville M Mattila, The NITEP group. Plos Medicine 2019
Open article
Intraobserver and interobserver reliability of recategorized Neer classification in differentiating 2-part surgical neck fractures from multi-fragmented proximal humeral fractures in 116 patients.
Sumrein BO, Mattila VM, Lepola V, Laitinen MK, Launonen AP, NITEP Group .J Shoulder Elbow Surg. 2018. doi: 10.1016/j.jse.2018.03.024. PubMed PMID: 29866397.
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Nordic Innovative Trials to Evaluate osteoPorotic Fractures (NITEP) Collaboration: The Nordic DeltaCon Trial protocol-non-operative treatment versus reversed total shoulder arthroplasty in patients 65 years of age and older with a displaced proximal humerus fracture: a prospective, randomised controlled trial.
Launonen AP, Fjalestad T, Laitinen MK, Lahdeoja T, Ekholm C, Wagle T, et al.BMJ Open. 2019;9(1):e024916. doi: 10.1136/bmjopen-2018-024916. PubMed PMID: 30700485; PubMed Central PMCID: PMCPMC6352806.
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