Proximal humeral locking plate for treatment of proximal humerus fractures.docVIP

 PAGE \* MERGEFORMAT 12 Proximal humeral locking plate for treatment of proximal humerus fractures Author: Gong Jianghao BAO DING Zheng-Ming Wang Bi-Cheng Huang Hongbin Cai Airlines 【Key Words】 humerus plate fractures As the population ages, the incidence of proximal humerus fractures continue to rise, due to fracture near the shoulder area, so demanding of their treatment. Non-surgical treatment mainly applied to non-shift or mildly displaced fractures, displaced fractures of the need for surgical treatment, but more controversial choice of treatment, clinical results reported are inconsistent [1]. Since June 2003 to January 2006, undergraduate applications locking proximal humerus plate (Locking Proximal Humeral Plate, LPHP) treatment of 25 cases of internal fixation of proximal humeral fractures in patients with satisfactory outcome, the report is as follows. A clinical data 1.1 General Information The group of 25 cases, male 15 and female 10 cases; age of 50 to 78 years, with an average 62.5 years of age. Are closed fresh fractures. High-energy injury in 16 cases (traffic accident injuries in 13 cases, three cases of injury fall height); low-energy injury in 9 cases (all falls). Fracture type: According to the Neer classification, two part fractures in 6 cases, 3 parts of 12 cases, four parts of seven cases. With 11 cases of humeral head anterior dislocation, rotator cuff and joint capsule tear in 6 cases, with other parts of the fracture, 4 cases (Figure 1). 1.2 surgical In the brachial plexus anesthesia or general anesthesia, the patient was supine, suffering pad high, get into the road between the deltoid and the pectoralis major, and to protect the cephalic vein within the retractor to fully reveal the proximal humerus. Be careful not to over-split so as not to damage the axillary nerve, joint capsule cut as much as possible and pay attention to protect the chip fracture of the organization, joint capsu