Comparison of the efficacy of Philos plate and Multiloc intramedullary nail in the treatment of complex proximal humeral fractures with osteoporosis in the elderly.
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引用次数: 0
Abstract
Introduction: Proximal humeral fractures are common in elderly patients with osteoporosis. Complex three- or four-part fractures often require surgical intervention. Philos locking plates and Multiloc intramedullary nails are widely used, but their comparative effectiveness in osteoporotic elderly patients remains uncertain.
Methods: A retrospective study was performed on 90 elderly patients (aged 70-95 years) with Neer three- or four-part proximal humeral fractures treated between January 2021 and December 2023. Patients received either Philos plate fixation (n = 50) or Multiloc intramedullary nail fixation (n = 40). Clinical data included incision length, operative time, blood loss, complications, and functional outcomes. Pain was assessed via VAS, and shoulder function via Constant-Murley scores at 1 week, 1 month, and 12 months postoperatively.
Results: Both groups achieved fracture healing and functional improvement. Compared to the Philos group, the Multiloc group had shorter incisions, less blood loss, and shorter operative time (all P < 0.05). VAS scores were lower and Constant-Murley scores higher in the Multiloc group at all time points (P < 0.05). Complication rates were lower in the Multiloc group (10% vs. 20%).
Discussion: Both techniques are effective, but Multiloc intramedullary nail fixation offers superior early outcomes and fewer complications. It may be preferable for elderly patients with osteoporotic proximal humeral fractures when proper surgical technique is ensured.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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