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- Title
Treatment of three- and four-part proximal humeral fractures with locking proximal humerus plate.
- Authors
Sun, Jing-Cheng; Li, Yu-Lin; Ning, Guang-Zhi; Wu, Qiang; Feng, Shi-Qing
- Abstract
Objective: The purpose of this study was to evaluate the effectiveness and complications of the locking proximal humerus plate to treat proximal humerus fractures. Design: A retrospective clinical trial. Setting: Department of Orthopaedics, Tianjin Medical University General Hospital. Patients: Sixty-eight consecutive patients with three- or four-part fractures of the proximal humerus were treated with locking proximal humerus plates. Intervention: The deltopectoral anterolateral acromial approach was used to the proximal humerus; open reduction and locking proximal humerus plate were applied. Main outcome measurements: Constant Score was used to measure the shoulder functional recovery, and Visual Analog Scale (VAS) was used to measure subjective evaluation of pain. The radiology was observed. Results: After average 26.7 months, the average Constant Score was 72.6 ± 13.2 points and the average VAS was 1.2 ± 0.8 points. All the complications such as screw perforation into the glenohumeral joint, screws loosening, soft tissue infections, avascular necrosis and delayed union occurred in eight cases (11.8 %). Conclusions: The effectiveness of the locking proximal humerus plate was similar to other published literatures on treating fractures of the proximal humerus; however, a lower complications rate in short follow-up time was observed in this study. It may potentially provide a favorable option for treating three- or four-part fractures of the proximal humerus. Dealing with each particular fracture pattern, surgeons should have a decision of appropriate way to internal fixation.
- Subjects
ACADEMIC medical centers; CLINICAL trials; BONE fractures; ORTHOPEDIC surgery; HEALTH outcome assessment; SHOULDER joint injuries; T-test (Statistics); VISUAL analog scale; TREATMENT effectiveness; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2013, Vol 23, Issue 6, p699
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-012-1040-x