Minimally invasive locking plate fixation of proximal humerus fractures elderly.docVIP

 PAGE \* MERGEFORMAT 5 Minimally invasive locking plate fixation of proximal humerus fractures elderly [Keywords:] of proximal humeral fractures Proximal humeral fractures are more common in clinical, accounting for body fractures 4% ~ 5%, mainly in the elderly patients with osteoporosis [1]. Most non-displaced or slightly displaced fractures, in the past by more conventional conservative treatment, treatment satisfaction. For the displacement of the more obvious in patients with fracture and dislocation of many needed surgery. Locking proximal humerus plate design in recent years a new generation of AO plate, now popularized in this country. From February 2004 to June 2007, the Court applied proximal humeral locking plate LPHP treatment of 36 cases of elderly patients with displaced proximal humeral fractures, results were satisfactory, the report is as follows. 1 Data and methods 1.1 General Information The group of 36 patients, 17 were males and 19 females; age of 61 to 79 years, with an average 65.7 years of age. The left side in 15 cases, the right side of 11 cases; were closed fracture of the proximal humerus, the merger shoulder dislocation in 4 cases, the merger other fractures and injuries in 5 cases. Injuries reasons: six cases of car accidents, falls 30 cases. According to Neer classification [2]: two part fractures in 18 cases, three-part fractures in 13 cases, four-part fracture in 5 cases. 1.2 surgical Brachial plexus block anesthesia or general anesthesia, patients taking beach chair position, and first in the subacromial about 5cm flat horizontal line marked, this is axillary nerve interface. For acromial end Shaopian transverse skin incision under, about 5.0cm or so, reveal deltoid, hand-to-large nodules and the long head biceps tendon in the subacromial vertex under 0.5cm, longitudinal incision of approximately deltoid 3cm or so, in the C-arm X-ray TV screen monitoring, by the assistant stand shoulder to push compression fracture trac