Therapeutic effect of locking proximal humerus plate in treatment of the elderly patients with complex humeral proximal fractures

VernacularTitle:锁定钢板治疗老年人复杂性肱骨近端骨折疗效分析
Author: Mingfeng XUE ; Jiaping DAI ; Chunmin TONG ; Jieen PAN ; Jianming SHENG
Publication Type:Journal Article
From: Chinese Journal of Geriatrics 2012;31(1):48-50
CountryChina
Language:Chinese
Abstract: ObjectiveTo observe the clinical effects of locking proximal humerus plate(LPHP) in the treatment of complex proximal humeral fracture of aged patients and to analyze the influencing factors. Methods Among 39 cases with complex humeral fractures (aged 60-83 years),there were 29 cases with three-part fractures and 10 with four-part fractures according to the Neer classification.They were operated by LPHP via deltoid-pectoral approach. Neer numerical rating system was employed to evaluate postoperative function of shoulders.Results39 cases were followed up for average of 16 months.According to Neer numerical rating system,the excellence rates of three-part fractures and four-part fractures were 86.2％ (25 cases) and 50.0％ (5 cases),respectively,with total excellence rate of 76.9％(30 cases). Age (OR =1.314, P＜0.05) and fracture type ( OR =1.295, P＜0.05)ofpatientswereindependentriskfactorsforprognosis of proximal humeral fracture of aged patients by multiple logistic regression. Conclusions LPHP is an effective implant for treating complex proximal humeral fracture of aged patients,with age and fracture types as important risk factors of prognosis.<英文关键词>=humeral fractures