ABSTRACT
BACKGROUND: The best treatment of proximal humeral fracture has always been controversial. Open reduction and internal fixation with locking plate is a common method for the treatment of proximal humeral fractures. In recent years, many studies have pointed out that locking plate combined with fibular allograft can obtain better rigid structure. OBJECTIVE: To evaluate the clinical efficacy of locking plate and locking plate combined with fibular allograft in the treatment of proximal humeral fractures. METHODS: CNKI, Wanfang database, VIP, PubMed, EMBASE, and Cochrane Library were searched for articles concerning locking plate and locking plate combined with fibular allograft for proximal humeral fractures published from inception to January 2020 for quality evaluation. International Cochrane collaboration RevMan 5.0 software was used for meta-analysis. The difference in American shoulder and elbow surgeons score, Constant score, humeral head height loss value, the change of humeral neck angle, incidence of postoperative complications, secondary surgery rate, screw cutout rate, and humeral head necrosis rate were compared between the locking plate group and locking plate combined with fibula group. RESULTS AND CONCLUSION: (1) Eight studies were included with a total of 623 patients. (2) Results analysis showed that there were significant differences between the locking plate group and locking plate combined with fibula group in American shoulder and elbow surgeons score (95%CI:4.29-6.84, P 0.05) and humeral head necrosis rate(95%CI:0.41-2.11, P > 0.05). (4) Locking plate combined with fibula with simple locking plate in American shoulder and elbow surgeons score, Constant score, humeral head height loss value, neck stem Angle values, the incidence of postoperative complications, and screw cutout rate has a better clinical effect, but does not have significant difference in the second operation rate or humeral head avascular necrosis..
ABSTRACT
The purpose of this research publication in reference to the morphological features of the head of a Kosovo Albanian population takes us one step further toward studying the anthropological status of Kosovo Albanian population. Three cephalofacial variables were measured in 754 Kosovo subjects, between 18-35 years of age, 561 male and 193 female. The categorization of the head size of the treated subjects was done based on the head length (G-Op), head width (Eu-Eu), and head height (V-Po), according to the Lebzelter-Saler scale (head length and width) and Routil scale (head height). Results show that the head of the male subjects was characterized by long (50.1%), large (49.7%) and medium high head (46%), whereas, female subjects was characterized by a medium long (50.3%), medium large (50.8%) and low head type (41%). In general, the morphologic results of the head, match the results of the other authors, who found similarities between the morphologic features of the Dinaric type (Iliric) and Albanian population.
El propósito de esta investigación referente a las características morfológicas de la cabeza en la población albanesa de Kosovo, es un paso más en el estudio de su condición antropológica. Se midieron tres variables cefalofaciales en 754 sujetos de Kosovo entre 1835 años de edad, correspondientes a 561 hombres y 193 mujeres. La categorización del tamaño de la cabeza fue realizada en base a la longitud de la cabeza (GOp), ancho de la cabeza (EuEu), y altura de la cabeza (VPo) de acuerdo a la escala LebzelterSaler (longitud y ancho de la cabeza) y la escala Routil (altura de la cabeza). Los resultados muestran que la cabeza de los hombres se caracterizó por ser larga (50,1%), de gran tamaño (49,7%) y altura media (46%), mientras que en las mujeres se caracterizó por una longitud media (50,3%), tamaño medio (50,8%) y altura baja (41%). En general, los resultados morfológicos de la cabeza, concuerdan con los resultados de otros autores que encontraron similitudes entre las características morfológicas del tipo Dinárico (Ilírics) y la población albanesa.