Two Kinds Of Locking Plate For Treatment Of Proximal Humerus Fractures Elderly

Objective:To compare the short-term efficacy of PHILOS and LPHP in the treatment of elderly patients with proximal humeral fractures. Methods:The follow-up data of61elderly patients with proximal humeral fractures were retrospectively analyzed. The patients were divided into PHILOS group (n=34) and LPHP group (n=27). According to the Neer system, there were two parts of fractures in seven cases, three parts of fractures in11cases, four parts of fractures in nine cases in LPHP group; there were two parts of fractures in nine cases, three parts of fractures in14cases, four parts of fractures in11cases in PHILOS group. The operation time, blood loss, and drainage volume were recorded. The time of fracture healing, functional recovery, and complications were observed. Statistical analysis was performed. Results:All61patients were followed up for12-36months (mean20.6months). There was no statistical difference in operation time, blood loss, drainage volume, time of fracture healing, functional recovery and complications between the two groups(P>0.05). Both LPHP and PHILOS groups could obtain good effects in treatment of senile proximal humeral fractures. The excellent and good rate was respectively81.5%and82.4%in two groups. They have advantages of reliable fixation, few complications, and high satisfaction rate. Conclusion:Currently these locking plates have a high clinical value and can be considered as useful implants for ORIF of displaced and unstable proximal humeral fractures.