OSTEOSYNTHESIS OF PROXIMAL HUMERAL END FRACTURES WITH FIXED-ANGLE PLATE AND LOCKING SCREWS: TECHNIQUE AND RESULTS.

Autor: Cohen M; Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ., Amaral MV; Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ., Monteiro M; Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ., Brandão BL; Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ., Motta Filho GR; Master in Orthopedics at the Escola Paulista de Medicina (UNIFESP-EPM); Director, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Nov 16; Vol. 44 (2), pp. 106-11. Date of Electronic Publication: 2015 Nov 16 (Print Publication: 2009).
DOI: 10.1016/S2255-4971(15)30056-2
Abstrakt: Unlabelled: Describe the results of proximal humeral fractures surgically treated with the Philos locking plate system.
Method: Between March 2003 and October 2004 we prospectively reviewed 24 of 26 patients with proximal humerus fractures treated with a Philos plate. The mean follow-up time was 12 months and the mean age of patients was 57 years. Six patients had four-part proximal humerus fractures, 11 patients had three-part proximal humerus fractures, and nine patients had two-part proximal humerus fractures. Clinical evaluation was performed using the University of California at Los Angeles (UCLA) criteria.
Results: The mean UCLA score was 30 points (17-34). All fractures showed union. Three patients showed fracture union at varus position. The mean UCLA score for these patients was 27 points.
Conclusion: Osteosynthesis with Philos plate provides a stable fixation method with good functional outcome.
Databáze: MEDLINE