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Abstract

BACKGROUND:

Development of minimally invasive plate osteosynthesis (MIPO) and improvement of internal fixatior provides a reliable treatment for osteoporotic fractures of the proximal humerus in the elderly.

OBJECTIVE:

To apply locking proximal humeral plate (LPHP) implanted by MIPO for osteoporotic fractures of the proximal humerus in the elderly.

METHODS:

Totally 39 cases with proximal humeral fractures were observed. By the skill of MIPO, lateral shoulder horizon minor incision was made by the way of trigonal muscle, fractures reduction was made by extracapsular maneuver, then LPHP was planted into the incision above. After implantation, the shoulder function were evaluated by Neer scoring system.

RESULTS AND CONCLUSION:

All the cases were followed-up for over 12 months. Neither misplacement, mobilize and fracture of internal fixation material, nor screw in articular capsule, and caput femoris necrosis developed. All fractures healed at 10-16 weeks after implantation (averaged 12.3 weeks). The shoulder function was evaluated by Neer scoring system: excellent and good rate were 75.3%, and there were 29 cases for excellent and good, 8 cases for normal and 2 cases for poor. The skill of LPHP implanted by MIPO can treat the osteoporotic fractures of the proximal humerus in elderly, which has the characteristics of less blood circulation damage and stabilized fixation.

RESULTS AND CONCLUSION:

Sun GW. Implantation of locking proximal humeral plate for osteoporotic fractures of the proximal humerus in the elderly: A 12 months follow-up.Zhongguo Zuzhi Gongcheng Yanjiu. 2012;16(13): 2366-2369.

RESULTS AND CONCLUSION:

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