肱骨近端锁定内定系统(philos)与三叶草钢板治疗肱骨近端隐匿性骨折的临床疗效对比.pdfVIP

Clinical efficacy comparison of the proximal humerus internal locking system (PHILOS) and the clover plate in treatment of proximal humeral shield fractures Speciality: Orthopaedics of TCM Author: Wang Yang Tutor: Prof. Wang Mingxi Abstract Objective: The purpose of this study is to determine the efficacy of the open reduction and fixation of proximal humerus shield fracture with proximal humerus internal locking System (PHILOS) and clover plate. Methods: 40 patients were found to be eligible and were included in the study. These patients had all been treated for a proximal humerus fracture between 2008 and 2011. The mean age of the 20 patients of the PHILOS group was 67.1(34-93), including male 7 cases and female 13 cases, and ordinary group included the other 20 patients, male 9 cases and female 11 cases, with an average age of 61.75 (46-76). According to Constant-Murley absolute score, the clinical effect is retrospectively analyzed by comparing proximal humerus internal locking system (PHILOS) group and clover plate group (ordinary group) of proximal humeral shield fractures. Constant-Murley absolute value evaluation method as follows: full marks for 100 points, activities range 40 points, the main activities and daily life 20 points, deltoid muscle strength 25 points, 10 points for postoperative pain. Above 90 points total score for optimal after operation, 80 to 89 for good, 70 to 79 divided into middle， and below 70 for poor. The rate of optimal, good and middle are summed for satisfaction. Results: All 40 patients by follow-up of Constant-Murley absolute value score, the clinical effect of proximal humerus internal locking System group (the PHILOS group) is clearly superior to ordinary surgical method group (ordinary group). The PHILOS groups satisfaction