Can the osteosynthesis with locking plates be a better treatment for unstable fractures of the proximal humerus?
M A Verdano1, E Lunini, A Pellegrini
1Department of Surgical Science, Section of Orthopaedics, Traumatology and Functional Rehabilitation, U.O. Clinica Ortopedica, University of Parma, Via Gramsci, 14-43100, Parma, Italy, micheleverdano@hotmail.it.
Purpose:
The purpose of this study is to review our experience with proximal humeral locking plates, including complications, functional outcomes, strength recovery and predictors of successful treatment.
Methods:
Seventy unstable proximal humeral fractures were treated with open reduction internal fixation (ORIF) with the use of locking proximal humerus plate. At an average follow-up of 31 months, the clinical and subjective outcomes were evaluated, and complication was analysed.
Results:
The average Constant score was 72. The mean disabilities of the arm, shoulder and hand score was 23. The average range of motion was as follows: mean range of anterior elevation and abduction 120°-150°; external rotation in abduction 64° and in adduction 44°; and internal rotation T12.
Conclusion:
On the basis of the overall functional and clinical outcome obtained, it is possible to suggest that the ORIF of the proximal humerus fractures using locking plate represents a helpful option that can lead to a good clinical and functional outcome even in the most complex fractures.
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