Treatment of comminuted proximal humeral fractures by locking plate
Author(s): CHEN Xiao-dong, WANG Yu-ren, CUI Yi-min, WANG Dong-liang, WANG Wei, DONG Hai, SHEN Chao, HE Ji-ye, JLANG Lei-sheng
Pages: 203-205
Year: 2008 Issue: 4
Journal: CHINESE JOURNAL OF HAND SURGERY
Keyword: Humeral fractures; Fracture fixation; interual; Locking plate;
Abstract: Objective To investigate the surgical techniques and evaluate the results of locking plate in treatment of comminuted proximal humeral fractures. Methods From February 2003 to March 2007, 34 cases of Comminuted proximal humeral fractures were treated using locking plate manufactured by Synthes (21 cases with locking proximal humerus plate, LPHP; 13 cases with proximal humerus interlocking system, PHILOS). There were 9 males and 25 females. The ages of this group ranged from 43 to 81 years, with an average of 64.7 years. According to Neer classification, there were 30 cases of three-part fractures, and 4 cases of four-part fractures. Results The follow-up period of 32 cases ranged from 12 months to 36 months, the average being 18.6 months. Two were lost for follow up. Bone union was achieved in all the cases, with the mean healing period of 10 weeks. According to Constant scoring, the excellent and good result rate was 84.4%. Conclusion Locking plate is an effective method for treating comminuted proximal humeral fractures. Mechanical support of the medial region to maintain the reduction and minimal soft tissue striping of the fracture site ate important for the success of the surgery.
Pages: 203-205
Year: 2008 Issue: 4
Journal: CHINESE JOURNAL OF HAND SURGERY
Keyword: Humeral fractures; Fracture fixation; interual; Locking plate;
Abstract: Objective To investigate the surgical techniques and evaluate the results of locking plate in treatment of comminuted proximal humeral fractures. Methods From February 2003 to March 2007, 34 cases of Comminuted proximal humeral fractures were treated using locking plate manufactured by Synthes (21 cases with locking proximal humerus plate, LPHP; 13 cases with proximal humerus interlocking system, PHILOS). There were 9 males and 25 females. The ages of this group ranged from 43 to 81 years, with an average of 64.7 years. According to Neer classification, there were 30 cases of three-part fractures, and 4 cases of four-part fractures. Results The follow-up period of 32 cases ranged from 12 months to 36 months, the average being 18.6 months. Two were lost for follow up. Bone union was achieved in all the cases, with the mean healing period of 10 weeks. According to Constant scoring, the excellent and good result rate was 84.4%. Conclusion Locking plate is an effective method for treating comminuted proximal humeral fractures. Mechanical support of the medial region to maintain the reduction and minimal soft tissue striping of the fracture site ate important for the success of the surgery.
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