Fixation of complex proximal humeral fractures in elderly patients with a locking plate： A retrospective analysis of radiographic and clinical outcome and complications

作     者：Fabio Rodia Emmanouil Theodorakis Georgios Touloupakis Angelo Ventura 

作者机构：Department of Orthopaedics and Traumatology CFO Hospital "A Alesini" Roma 00185 Italy Department of Orthopaedics and Traurnatology Aurelia Hospital Roma 00185 Italy 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2016年第19卷第3期

页      面：156-159页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 10[医学] 

主　　题：骨折愈合 临床疗效 并发症 影像学 肱骨 老年 固定治疗 钢板 

摘      要：OBJECTIVE:The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as a high rate of complications. Our retrospective study aims to evaluate clinical recovery and complications using the S3 locking plate in elderly patients.;METHODS:Fifty-one patients older than 65 years of age, with a complex proximal humeral fracture type B or C (AO classification system), were included. Patients have been followed up for a minimum of 12 months. We assessed callus formation, radiological results, clinical outcome (according to the Constant Shoulder Score System) and complications. Any difference in the clinical recovery among the 2 types of fracture pattern (B and C) was investigated.;RESULTS:The mean time of fracture healing was 12.4 weeks. The mean Constant score at 3, 6 and 12 months was 68, 73 and 75 respectively. No statistically significant difference in the clinical outcome was observed between the B and C fracture patterns (p 0.05). We noticed an overall of 5 complications (9.8%). There was no need to revision any of the implants.;CONCLUSIONS:Anatomic reduction and proper plate positioning are essential for minimizing implantrelated complications. In our experience the S3 angular stability system offers a proper osteosyntesis and a good clinical recovery with a low rate of complications.