APPLICATION OF THE AXIAL STABLE PLATE IN FRACTURES OF PROXIMAL HUMERUS
Authors:
M. Křivohlávek; R. Lukáš; S. Taller; J. Šrám
Authors‘ workplace:
Trauma centre of District Hospital of Liberec
; Traumacentrum Krajské nemocnice Liberec
Published in:
Úraz chir. 13., 2005, č.2
Overview
Treatment of fractures of the upper end of the humerus is often difficult because they frequently occur in older age groups with advanced osteoporosis. Common methods of stable osteosynthesis may fail owing to the low density of the skeleton and due to problemmatic fixation of small fragments. The plate Philos (Synthes) which uses the principle of locking screws (LCP) is an implant that is stable enough for these problematic fractures.
The authors evaluated a group of 33 patients operated on at the Trauma Centre of the District Hospital of Liberec from August 2002 to November 2004. The group included 23 female and 10 male patients, average age 57,8 years (64,7 female, 42,9 male).
In 24 patients, monitored minimally over three months, functional results were evaluated according to the ConstantMurley Score in a prospective study. The average value of the CostantMurley Score was 79,3 (range 61–100), in fractures Neer 4 score 82,9 (6496 ), Neer 5 score 72,3 (19–97) and in luxation fractures Neer 6 score was 61,9 (36–79).
Application of the axially stable plate Philos represents the method of choice for dislocated fractures of the proximal humerus in cases of marked osteoporosis, in three and four fragment fractures and in cases of broken head of humerus.
Key words:
fractures of proximal humerus, axially stable implant, LCP.
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Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2005 Issue 2
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