Clinical outcome of proximal humeral internal locking system in treatment of three- and four-part proximal humeral fractures in elderly patients

VernacularTitle:内固定锁定系统治疗高龄患者肱骨近端三、四部分骨折的疗效分析
Author: Jin XIONG ; Hongfei SHI ; Yixin CHEN ; Junfei WANG ; Dongyang CHEN ; Xu SUN ; Weijun WANG
Publication Type:Journal Article
Keywords: Shoulder fractures; Fracture fixation,internal; Aged,80 and over; Locking plate
From: Chinese Journal of Trauma 2012;28(5):397-401
CountryChina
Language:Chinese
Abstract: ObjectiveTo analyze the clinical efficacy of open reduction and internal locking system (PHILOS) in management of three- and four-part proximal humeral fractures in the elderly patients.MethodsA retrospective study was performed on 18 elderly patients (age≥80 years) with proximal humeral fractures who were treated surgically from June 2008 to June 2010 and received complete follow-up.The fractures were Neer three- and four-part fractures and managed with PHILOS.Rehabilitation exercise was performed postoperatively and followed up regularly.ResultsThe patients were followed up for average 15.3 months,which showed sound healing of all fractures.Shoulder joint function was assessed by Constant-Murley score that was 55 to 83 points (mean 72.5 points) at 12 months,with an overall excellence rate of 67％.ConclusionOpen reduction and fixation with PHILOS can attain satisfactory clinical outcome for the elderly patients with three- and four-part proximal humeral fractures.