Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year.

Acta orthopaedica Scandinavica Pub Date : 2004-12-01 DOI:10.1080/00016470410004120

Jan-Magnus Björkenheim, Jarkko Pajarinen, Vesa Savolainen

{"title":"Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year.","authors":"Jan-Magnus Björkenheim, Jarkko Pajarinen, Vesa Savolainen","doi":"10.1080/00016470410004120","DOIUrl":null,"url":null,"abstract":"Background: Proximal humeral fractures, particularly in osteoporotic patients, remain an unsolved problem as regards the durability of the osteosynthesis. The AO/ASIF group has developed a new technique which aims to preserve the biological integrity of the humeral head and secures the reduction using multiple locking screws with angular stability (Philos), thus allowing an early mobilization.Patients and outcome: We retrospectively reviewed the complications and functional outcome after a minimum follow-up of 1 year in 72 patients treated with this new method. 2 fractures failed to unite, and 3 patients developed an avascular necrosis of the humeral head. In addition, 2 implant failures were observed due to a technical error. According to the Constant score, the functional outcome was acceptable even in elderly patients.Interpretation: The Philos method appears to be safe and can be recommended for the treatment of proximal humeral fractures in patients with poor bone quality.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"741-5"},"PeriodicalIF":0.0000,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004120","citationCount":"254","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta orthopaedica Scandinavica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/00016470410004120","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 254

Abstract

Background: Proximal humeral fractures, particularly in osteoporotic patients, remain an unsolved problem as regards the durability of the osteosynthesis. The AO/ASIF group has developed a new technique which aims to preserve the biological integrity of the humeral head and secures the reduction using multiple locking screws with angular stability (Philos), thus allowing an early mobilization.

Patients and outcome: We retrospectively reviewed the complications and functional outcome after a minimum follow-up of 1 year in 72 patients treated with this new method. 2 fractures failed to unite, and 3 patients developed an avascular necrosis of the humeral head. In addition, 2 implant failures were observed due to a technical error. According to the Constant score, the functional outcome was acceptable even in elderly patients.

Interpretation: The Philos method appears to be safe and can be recommended for the treatment of proximal humeral fractures in patients with poor bone quality.

查看原文本刊更多论文

锁定加压钢板内固定肱骨近端骨折:回顾性评估72例患者随访至少1年。

背景:肱骨近端骨折，特别是骨质疏松症患者，在骨合成的耐久性方面仍然是一个未解决的问题。AO/ASIF小组开发了一种新技术，旨在保护肱骨头的生物完整性，并使用具有角度稳定性的多个锁定螺钉(Philos)确保复位，从而允许早期活动。患者和结果:我们回顾性地回顾了72例接受这种新方法治疗的患者在至少1年随访后的并发症和功能结果。2例骨折未愈合，3例肱骨头无血管性坏死。此外，由于技术错误，观察到2例植入失败。根据恒常评分，即使在老年患者中，功能结果也是可接受的。结论:Philos方法似乎是安全的，可以推荐用于治疗肱骨近端骨折患者的骨质量差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acta orthopaedica Scandinavica

自引率

0.00%

发文量