Proximal humeral locking plate for treatment of senile Fractures.docVIP

 PAGE \* MERGEFORMAT 8 Proximal humeral locking plate for treatment of senile Fractures [Keywords:] old fractures of proximal humerus locking plate Proximal humeral fractures is a common type of fracture, more common in older patients, often caused by the low-energy injury, and its obvious with osteoporosis. Elderly often accompanied by osteoporosis, caused great difficulties to the treatment, traditional surgery, such as Kirschner wires, tension band fixation, “T” type of plate fixation in fracture-prone functional exercise displacement and fixation failure. our hospital from March 2005 to December 2007 with the proximal humerus proximal humeral locking plate for treatment of old fractures, satisfactory outcome, are reported below. 1 Clinical data 1.1 General information on this group of 15 patients, 6 males and 9 females, aged 55 to 82 years, mean 63.6 years old. The right side in 5 cases, left in 10 cases. Low-energy injury in 11 cases, 4 cases of high-energy injury. Merge shoulder dislocation in 2 cases, combined with other fractures and injuries in 2 patients. by Neer classification of two parts in 5 cases, 8 cases of three parts, four parts in 2 cases. respectively AO locking proximal humerus bone or plate fixation. 1.2 Preoperative preparation for glenohumeral at least three mutually perpendicular planes to shoot X-ray film, the trauma series, including the scapular anteroposterior X-ray film, scapula and axillary lateral X-ray digital X-ray film to determine the fracture type. nodules suspected fractures plus film shot inside and outside the rotated position, if the standard X-ray films insufficient to assess fracture morphology, the articular surface displacement and soft tissue damage and injury, the Canadian film CT examination, MRI for soft tissue injury diagnosis of definite significance, especially the rotator cuff, two tendons, labrum injury. preoperative fracture must be proven by or through the surgical neck of humerus anatomical