Liu Xin-Wei, Fu Qing-Ge, Xu Shuo-Gui, Zhang Chun-Cai, Su Jia-Can, Wang Pan-Feng, Zhao Dong-Feng, Li Yu-Hong
Department of Orthopaedics, Changhai Hospital Affiliated to the Second Military Medical University, Shanghai 200043, China.
Zhongguo Gu Shang. 2010 Mar;23(3):180-2.
To investigate the clinical effects of PHILOS plate with injectable artificial bone for the treatment of proximal humeral fractures in elderly patients.
From March 2007 to March 2009,17 patients who suffered from proximal humeral fractures were retrospectively studied. There were 7 males, 10 females, with an average age of 71 years (ranged, 66 to 81 years). Nine patients were caused by falling, seven patients were caused by traffic accidents,and one patient was hit by heavy object. According to the Neer classification, 9 patients were type III and 8 patients were type IV. All the patients were treated with PHILOS plate internal fixation combined with injectable artificial bone. Assessment was based on the Constan-Murley shoulder score and percentage Constant-Murley score.
The mean period of follow-up was 16 months (ranged, 8 to 25 months). All the patients obtained bone union in an average of 3 months (2.5 to 3.5 months). There were no complications such as deep infection, nonunion or failure of fixation. The Constant-Murley score of the injured side was mean (86.50 +/- 10.50) (ranged, 75 to 95). The clinical outcomes were excellent in 9 cases, good in 6 cases, moderate in 2 cases.
The treatment of proximal humeral fractures in elderly patients with application of PHILOS plate combined with injectable artificial bone can get satisfactory clinical effect especially suitable for osteoporosis and comminuted proximal humeral fractures.
探讨PHILOS钢板联合可注射人工骨治疗老年肱骨近端骨折的临床疗效。
回顾性分析2007年3月至2009年3月间17例肱骨近端骨折患者。其中男性7例，女性10例，平均年龄71岁（66～81岁）。9例因跌倒致伤，7例因交通事故致伤，1例因重物砸伤。按Neer分型，Ⅲ型9例，Ⅳ型8例。所有患者均采用PHILOS钢板内固定联合可注射人工骨治疗。根据Constan-Murley肩关节评分及Constan-Murley评分百分比进行评估。
平均随访时间16个月（8～25个月）。所有患者平均3个月（2.5～3.5个月）获得骨愈合。未出现深部感染、骨不连或内固定失败等并发症。患侧Constan-Murley评分为（86.50±10.50）（75～95）。临床疗效优9例，良6例，可2例。
应用PHILOS钢板联合可注射人工骨治疗老年肱骨近端骨折可获得满意的临床疗效，尤其适用于骨质疏松及肱骨近端粉碎性骨折。
