The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Proximal humerus locking compression plate combined with medial plate for Neer type III and IV proximal humerus fractures

Author : CHEN De-jian, QIU Fu-ping, BIAN Jian, ZHAO Xiao-long.     
Working unit : Department of Orthopedics, Nanjing Jiangbei People's Hospital Affiliated to Nantong University, Nanjing 210048, China
Page : 2233-2237
Key words : proximal humeral fracture, locking plate, common plate
Abstract: [Objective] To evaluate the clinical outcomes of proximal humerus locking compression plate combined with medial plate for treatment of Neer type III and IV proximal humerus fractures. [Methods] From March 2014 to January 2017, a total of 58 patients who underwent surgical treatment for Neer type Ⅲand Ⅳproximal humerus fracture were enrolled into this study. Based on internal fixation applied, 30 patients who had lateral locking compression plate combined with medial plate for fracture fixation were termed as the double-plate group, while the remaining 28 patients who had lateral locking compression plate only for fixation were named as the single- plate group. The perioperative documents, clinical and imaging results were compared between the two groups. [Results] All the patients in both groups received successful operation without iatrogenic neurovascular injuries during operation. Although the double-plate group spent significantly longer operation time, associated with more blood loss than the single-plate group (P<0.05) , no statistically significant differences in fluoroscopy frequency and hospital stay were noticed between them (P>0.05) . On the other hand, the double-plate group recovered active motion after operation significantly earlier than the single-plate group (P<0.05) . All the patients were followed up for 6~24 months with an average of (14.27±3.59) months. At 6 months postoperatively, the double-plate group was marked significantly lower VAS score, whereas significantly higher Neer score than the single-plate group (P<0.05) . To the latest follow up, all patients in both groups got bony healing of the fractures with the mean fracture healing time of (8.48 ± 2.31) weeks in the double- plate group, while (11.47±3.69) weeks in the single-plate group, which proved statistically significant (P<0.05) . In addition, the neckshaft angle of humerus was (132.71±2.83)° in the doubleplate group, while (118.5±3.5)° in the single-plate group at the latest follow up, which was statistically significant (P<0.05) . [Conclusion] The proximal humerus locking compression plate combined with medial plate does achieve better clinical outcomes than lateral plate only for Neer type III and IV proximal humerus fractures.
summary:
Proximal humerus locking compression plate combined with medial plate for Neer type III and IV proximal humerus fractures   
CHEN De-jian, QIU Fu-ping, BIAN Jian, ZHAO Xiao-long.
Orthop J Chin, 27(24):   2233-2237