Case-control study on locking plates fixation for the treatment of Neer 3-and 4-part proximal humerus fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 38-40, 2014.
Article
in Chinese
| WPRIM
| ID: wpr-250686
ABSTRACT
<p><b>OBJECTIVE</b>To compare therapeutic effects of locking plates for the treatment of Neer 3-and 4-part proximal humerus fractures.</p><p><b>METHODS</b>From January 2009 to June 2011, 64 patients with Neer 3-and 4-part proximal humerus fractures were treated with locked plate fixation. There were 39 patients in the 3-part group including 16 males and 23 females, with an average age of (55.12 +/- 12.52) years old; and 25 patients in the 4-part fractures group including 9 males and 16 females,with an average age of (57.92 +/- 13.14) years old. The American Shoulder and Elbow Surgeons score (ASES), visual analogue scale (VAS) and complications were documented for analysis before and after treatment.</p><p><b>RESULTS</b>All the patients had incision healing at the first stage. All the patients were followed up, and the duration ranged from 12 to 30 months, with a mean of 16.5 months. Comparably better shoulder function recovery was achieved in the 3-part fractures group with regard to the ASES (76.14 +/- 14.10 in the 3-part fractures group vs. 65.93 +/- 11.82 in the 4-part fractures group, P < 0.05). Moreover,a statistical difference (P < 0.05) was observed regarding the VAS pain score (2.12 +/- 1.63 in the 3-part fractures group vs. 3.90 +/- 2.21 in the 4-part fractures group). For the complications rate,no statistical difference was noted between 3-part fractures group and 4-part fractures group (20.51% vs. 36.00%).</p><p><b>CONCLUSION</b>The clinical outcomes of the 3-part proximal humerus fractures is better than the 4-part fractures proximal humerus fractures treated with locking plate. Complex proximal humeral fractures treated with locking plates can be achieved a satisfactory outcome when attention is paid to anatomic reduction, stable fixation, proper screws and plate placement, and reasonable functional exercise postoperative.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shoulder Fractures
/
General Surgery
/
Bone Plates
/
Diagnostic Imaging
/
Tomography, X-Ray Computed
/
Case-Control Studies
/
Treatment Outcome
/
Fracture Fixation, Internal
/
Methods
Type of study:
Diagnostic study
/
Observational study
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2014
Type:
Article
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