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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2015 | Research article

Clinical outcomes of allograft with locking compression plates for elderly four-part proximal humerus fractures

Authors: Hua Chen, Xinran Ji, Qun Zhang, Xiangdang Liang, Peifu Tang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2015

Abstract

Background

The aim of this study is to explore the clinical outcomes of anatomical allograft or fibula shaft augmentation with locking compression plates (LCPs) in elderly patients with four-part proximal humeral fracture (PHF).

Methods

A total of 22 elderly patients with four-part PHF underwent allograft augmentation with LCPs for treatment. Among them, 7 cases received anatomical allograft and 15 patients received fibula shaft. Constant-Murley score (CMS), the disability of the arm, shoulder and hand (DASH) score, and subjective ratings, radiographic imaging, range of motion (ROM), and complications were recorded as postoperative evaluations.

Results

Although the ROM and strength were considerably limited compared with the normal side, there were no significant differences in pain and daily activity between the unaffected and affected sides at the last follow-up according to the CMS. Additionally, no significant differences were found in the subjective ratings and CMS and DASH scores between the patients augmented with fibular shaft and anatomical allograft. Among the 15 patients who received fibular shaft, one case developed avascular necrosis (AVN) and screw cutout, but satisfactory outcomes were obtained after removal of implant. Besides, varus displacement occurred in one case, the patient acquired good function without revision. There were no infection, bone nonunion, and hardware-related complications occurred in any case.

Conclusions

Both anatomical allograft and fibula shaft with LCPs showed relatively good clinical outcomes for elderly patients with four-part PHF.

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Title: Clinical outcomes of allograft with locking compression plates for elderly four-part proximal humerus fractures
Authors: Hua Chen
Xinran Ji
Qun Zhang
Xiangdang Liang
Peifu Tang
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2015
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-015-0258-9

At a glance: The STEP trials

Springer Medicine

Clinical outcomes of allograft with locking compression plates for elderly four-part proximal humerus fractures

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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