Comparison The Treatment Of LPHP And PHILOS For Complex Proximal Humerus Fractures

ObjectiveTo investigate the outcomes of different locking proximal humerus plate (LPHP and PHILOS) by deltoid split approach for treatmentof three and four-part proximal humeral fracture.Materials and methodsEighty patients with proximal humeral fractures were treated with the two locking proximal humerus plate by deltoid split from Juny2009to March2011. There are all complexproximal humerus fractures,three-part(n=52), four-part(n=28) fractures according to the neer classification, according to their respectively using LPHP or PHILOS were divided into two groups. Do functional exercises early after operativation.Have the X-ray egularly and have their follow-up in three month.half an yeah and one year later.ResultsAll of them received3-12months, an average of10months follow-up. Operation time and Neer score were no significant difference between the two groups. The proportion of postoperative pain is lower in the group of PHILOS than that of the group of LPHP. There were no complications related to the implant included loosening or breakage of the plate, infection,axillaryparesis, vascularinjury,humeral headnecrosisandredislocationof the fracture.ConclusionsThe using of PHILOS and LPHP in the treatment of complex fractures of proximal humerus curative effect is good, but PHILOS in reducing the healing time and postoperative pain is better than LPHP.