PMID: 18716427Aug 22, 2008Paper

Early results of treatment of proximal humerus fractures with the PHILOS locking plate

Acta orthopaedica et traumatologica turcica
Bülent KiliçSercan Akpinar

Abstract

The aim of this study was to evaluate early results of proximal humerus fractures treated with the PHILOS locking plate. Proximal humerus fractures of 22 patients (13 males, 9 females; mean age 57 years; range 35 to 83 years) were treated with the PHILOS locking plate. According to the Neer classification, 13 patients had comminuted fractures, four patients had valgus impact injuries, two patients had fracture-dislocations, and three patients had fractures involving the proximal 1/3 of the humerus. The fractures were reduced by the transdeltoid lateral approach (n=8) using minimally invasive surgery, and by the anterior deltopectoral approach (n=14) using open surgery. Passive and active exercises were initiated on the second postoperative day and after 4 to 6 weeks, respectively. The results were assessed using the Constant-Murley shoulder scoring system. The mean follow up was 14 months (range 12 to 19 months). Radiographically, union was observed in 20 patients at the end of 10 weeks. In one patient, time to union was 16 weeks. One patient underwent autogenous bone grafting because of nonunion after 16 weeks. The mean Constant-Murley score was 75.5 (range 51 to 93). There was no significant difference between Constant-Murley...Continue Reading

Citations

Mar 5, 2011·Musculoskeletal Surgery·C IacobellisR Aldegheri
Dec 1, 2009·Journal of Hand and Microsurgery·Siddharth B Joglekar, Asif M Ilyas
Jan 16, 2015·Advanced Biomedical Research·Mohammad Hadi NouraeiFereshteh Zamani
Nov 18, 2011·Injury·Stefano BrianzaAndrea E Tami
Oct 1, 2013·Acta Orthopaedica. Supplementum·Stig Brorson
Jun 11, 2011·Acta Orthopaedica·Stig BrorsonAsbjørn Hróbjartsson
Sep 11, 2012·Journal of Shoulder and Elbow Surgery·Bernhard JostChristian Gerber
Jun 5, 2013·The Open Orthopaedics Journal·Giacomo RizzelloVincenzo Denaro

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