Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly
International Journal of Anesthesia and Clinical Medicine
Volume 7, Issue 2, December 2019, Pages: 43-46
Received: Aug. 29, 2019;
Accepted: Sep. 25, 2019;
Published: Oct. 10, 2019
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Gu Xiaopeng, Department of Orthopedics, Zhoushan Guhechuan Hospital, Zhoushan, China
Lu Huan, Department of Orthopedics, Changzhou Jintan District Hospital of Traditional Chinese Medicine, Changzhou, China
Wong Hongjun, Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China
Wang Qijun, Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China
Gu Yuequan, Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China
To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P<0.05), however, there was no significant difference between the two groups in the operation time (P>0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.
Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly, International Journal of Anesthesia and Clinical Medicine.
Vol. 7, No. 2,
2019, pp. 43-46.
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