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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 4/2011

01-04-2011 | Osteoporotic Fracture Management

Management of proximal humeral fractures in elderly patients with uni- or polyaxial locking osteosynthesis system

Authors: Hong-fei Shi, Jin Xiong, Yi-xin Chen, Jun-fei Wang, Shou-feng Wang, Zhi-jun Chen, Yong Qiu

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2011

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Abstract

Introduction

To evaluate the clinical efficacy of uni- and polyaxial locking osteosynthesis systems in the management of proximal humeral fractures in elderly patients, totally 76 cases were reviewed including 18 cases of two-part (Neer classification), 36 cases of three-part, and 22 cases of four-part fractures.

Methods

All the patients received open reduction and internal fixation with proximal humerus internal locking osteosynthesis system (PHILOS) or Numelock systems designed for proximal humerus.

Results

Results showed no significant difference between groups considering the Constant–Murley scores assessed at 6 and 12 months, postoperatively. Satisfactory outcomes were achieved in 73.7 and 75.0% of the patients from the PHILOS and Numelock groups, respectively. Complications included four cases of varus malunion, one case of screw cut-out, and another case of avascular necrosis.

Conclusion

Both of the PHILOS and Numelock systems showed equally good results considering fixation stability and functional outcomes of proximal humeral fractures in elderly patients.
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Metadata
Title
Management of proximal humeral fractures in elderly patients with uni- or polyaxial locking osteosynthesis system
Authors
Hong-fei Shi
Jin Xiong
Yi-xin Chen
Jun-fei Wang
Shou-feng Wang
Zhi-jun Chen
Yong Qiu
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-010-1199-8

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