Lin Wu1, Yingying Jiang1, Xin Cao1, Xianfeng Meng1. 1. Department of Traumatic Orthopedic, Dongying Shengli Oilfield Central Hospital Dongying 257034, Shandong Province, China.
Abstract
OBJECTIVE: To compare the efficacies of internal fixations with proximal humeral internal locking system (PHILOS) plate and intramedullary MultiLoc® nails in the surgical treatment of proximal humerus fractures (PHF). METHODS: A total of 115 patients with PHF admitted to our hospital were selected as the research subjects, and were randomly divided into PHILOS group (n=57) and MultiLoc group (n=58). PHILOS group was treated with internal fixation with PHILOS plate, while MultiLoc group was treated with internal fixation with intramedullary MultiLoc® nails. RESULTS: MultiLoc group was superior to PHILOS group in the surgical duration and amount of intraoperative hemorrhage (P < 0.05). At 1 week after surgery, the visual analogue scale (VAS) scores in MultiLoc group were lower than those in PHILOS group (P < 0.05). After surgery, MultiLoc group had a shorter time of occurrence of bony callus and disappearance of fracture line (P < 0.05) and a lower incidence of complications (0.00% vs. 3.51%) (P > 0.05) compared with PHILOS group. At 6 months after surgery, MultiLoc group had higher abduction and external rotation angles and higher scores of Constant-Murley and American Shoulder and Elbow Surgeons (ASES) than PHILOS group (P < 0.05). CONCLUSION: The internal fixations with PHILOS plate and intramedullary MultiLoc® nails are effective in the treatment of PHF. However, the internal fixation with intramedullary MultiLoc® nails is superior to the internal fixation with PHILOS plate in alleviating pain and expediting the postoperative restoration of joint function. AJTR
OBJECTIVE: To compare the efficacies of internal fixations with proximal humeral internal locking system (PHILOS) plate and intramedullary MultiLoc® nails in the surgical treatment of proximal humerus fractures (PHF). METHODS: A total of 115 patients with PHF admitted to our hospital were selected as the research subjects, and were randomly divided into PHILOS group (n=57) and MultiLoc group (n=58). PHILOS group was treated with internal fixation with PHILOS plate, while MultiLoc group was treated with internal fixation with intramedullary MultiLoc® nails. RESULTS: MultiLoc group was superior to PHILOS group in the surgical duration and amount of intraoperative hemorrhage (P < 0.05). At 1 week after surgery, the visual analogue scale (VAS) scores in MultiLoc group were lower than those in PHILOS group (P < 0.05). After surgery, MultiLoc group had a shorter time of occurrence of bony callus and disappearance of fracture line (P < 0.05) and a lower incidence of complications (0.00% vs. 3.51%) (P > 0.05) compared with PHILOS group. At 6 months after surgery, MultiLoc group had higher abduction and external rotation angles and higher scores of Constant-Murley and American Shoulder and Elbow Surgeons (ASES) than PHILOS group (P < 0.05). CONCLUSION: The internal fixations with PHILOS plate and intramedullary MultiLoc® nails are effective in the treatment of PHF. However, the internal fixation with intramedullary MultiLoc® nails is superior to the internal fixation with PHILOS plate in alleviating pain and expediting the postoperative restoration of joint function. AJTR
Authors: Guilherme Boni; Robinson E Pires; Gustavo T Sanchez; Fernando B Dos Reis; Richard S Yoon; Frank A Liporace Journal: Eur J Orthop Surg Traumatol Date: 2019-03-08
Authors: Christoph J Laux; Florian Grubhofer; Clément M L Werner; Hans-Peter Simmen; Georg Osterhoff Journal: J Orthop Surg Res Date: 2017-09-25 Impact factor: 2.359