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OSTEOSYNTHESIS OF PROXIMAL HUMERAL END FRACTURES WITH FIXED-ANGLE PLATE AND LOCKING SCREWS: TECHNIQUE AND RESULTS
Marcio Cohen1, Marcus Vinicius Amaral1, Martim Monteiro1
1Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
Unlabelled:
Describe the results of proximal humeral fractures surgically treated with the Philos locking plate system.
Method:
Between March 2003 and October 2004 we prospectively reviewed 24 of 26 patients with proximal humerus fractures treated with a Philos plate. The mean follow-up time was 12 months and the mean age of patients was 57 years. Six patients had four-part proximal humerus fractures, 11 patients had three-part proximal humerus fractures, and nine patients had two-part proximal humerus fractures. Clinical evaluation was performed using the University of California at Los Angeles (UCLA) criteria.
Results:
The mean UCLA score was 30 points (17-34). All fractures showed union. Three patients showed fracture union at varus position. The mean UCLA score for these patients was 27 points.
Conclusion:
Osteosynthesis with Philos plate provides a stable fixation method with good functional outcome.
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