Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly

Gu Xiaopeng; Lu Huan; Wong Hongjun; Wang Qijun; Gu Yuequan

doi:doi:10.11648/j.ijacm.20190702.13

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Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly

Gu Xiaopeng, Lu Huan, Wong Hongjun, Wang Qijun, Gu Yuequan

Published in International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)

Received: 29 August 2019 Accepted: 25 September 2019 Published: 10 October 2019

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Abstract

To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P<0.05), however, there was no significant difference between the two groups in the operation time (P>0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 7, Issue 2)
DOI	10.11648/j.ijacm.20190702.13
Page(s)	43-46
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Humerus Fracture, PHILOS Plate, The Elderly

References

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[2]	Bai Lu, Zhang Wentao and Jiang Changqing, et al. Biomechanical study on failure of internal fixation of proximal humeral fracture caused by adduction deformity of humeral head. Chinese Journal of Shoulder and Elbow (Electronic Edition), Vol. 2, No. 3, 2015, pp: 7-13.
[3]	Chen Xin, Ma Guangyi and Zhu Hua, et al. MIPO technique implantation of long PHILOS plate for treatment of middle and upper humeral shaft fracture in the elderly. Journal of Clinical Orthopaedics. Vol. 21, No. 2, 2018, pp: 233-235.
[4]	Jiawei Xiong, Weimin Su, Jie Liang, etc. A feasibility analysis of fibular intramedullary allograft with locking plate fixation in treatment for proximal humeral fractures of Neer III and IV [J]. China Medical Equipment 2017, 07: 103-106.
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[6]	Dai Haifeng, Li Jia and Wang Zhizhi, et al. Short-term results of two surgical methods for the treatment of proximal humeral fractures in the elderly. Journal of Clinical Orthopaedics, Vol. 21, No. 1, 2018, pp: 79-81.
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[8]	Zhang Qinggang, Zhu Yuchang and Lou Lieming, et al. Treatment of comminuted proximal humeral fractures with locking plate supported by internal column by prying reduction. Orthopedic Journal of China, Vol. 20, No. 12, 2012, pp: 1076-1079.
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[10]	Li Jiade, Zhong Yongxiang and Chen Yu, et al. Radial anatomical locking plate of distal radius combined with proximal humeral locking plate for the treatment of proximal humeral fractures in the elderly. Journal of Clinical Orthopaedics, Vol. 22, No. 3, 2018, pp: 376.
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[13]	Di Jinglei, Chen Tao and Han Yaonan, et al. Treatment of proximal humeral fractures in elderly patients with rotator cuff suture and reconstruction of proximal medial column of humerus by insertion of broken ends. Journal of Guizhou Medical University, Vol. 11, No. 42, 2017, pp: 1353-1356.
[14]	Jin Tao, Xiang Xuanping and Xu Weiya, et al. The effect of locking plate-assisted rotator cuff suture fixation on elderly proximal humeral fractures. Orthopedic Journal of China, Vol. 18, 2015, pp: 1643-1648.
[15]	Chen Bingqian, Sheng Xiaowen, Peng Yuqin and Fang Xiaowen, et al. Analysis of the efficacy of PHILOS plate internal fixation in the treatment of complex proximal humeral fractures in the elderly. Chinese Journal of Bone and Joint Injury, Vol. 1, 2018, pp: 72-73.

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APA Style

Gu Xiaopeng, Lu Huan, Wong Hongjun, Wang Qijun, Gu Yuequan. (2019). Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. International Journal of Anesthesia and Clinical Medicine, 7(2), 43-46. https://doi.org/10.11648/j.ijacm.20190702.13

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ACS Style

Gu Xiaopeng; Lu Huan; Wong Hongjun; Wang Qijun; Gu Yuequan. Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. Int. J. Anesth. Clin. Med. 2019, 7(2), 43-46. doi: 10.11648/j.ijacm.20190702.13

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AMA Style

Gu Xiaopeng, Lu Huan, Wong Hongjun, Wang Qijun, Gu Yuequan. Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. Int J Anesth Clin Med. 2019;7(2):43-46. doi: 10.11648/j.ijacm.20190702.13

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@article{10.11648/j.ijacm.20190702.13,
  author = {Gu Xiaopeng and Lu Huan and Wong Hongjun and Wang Qijun and Gu Yuequan},
  title = {Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {43-46},
  doi = {10.11648/j.ijacm.20190702.13},
  url = {https://doi.org/10.11648/j.ijacm.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.13},
  abstract = {To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.},
 year = {2019}
}

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TY  - JOUR
T1  - Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly
AU  - Gu Xiaopeng
AU  - Lu Huan
AU  - Wong Hongjun
AU  - Wang Qijun
AU  - Gu Yuequan
Y1  - 2019/10/10
PY  - 2019
N1  - https://doi.org/10.11648/j.ijacm.20190702.13
DO  - 10.11648/j.ijacm.20190702.13
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 43
EP  - 46
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20190702.13
AB  - To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.
VL  - 7
IS  - 2
ER  -

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Author Information

Gu Xiaopeng

Department of Orthopedics, Zhoushan Guhechuan Hospital, Zhoushan, China
Lu Huan

Department of Orthopedics, Changzhou Jintan District Hospital of Traditional Chinese Medicine, Changzhou, China
Wong Hongjun

Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China
Wang Qijun

Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China
Gu Yuequan

Zhoushan Gushi Nicheng Femur Bone Institute, Zhoushan, China

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Plain Text BibTeX RIS

APA Style

Gu Xiaopeng, Lu Huan, Wong Hongjun, Wang Qijun, Gu Yuequan. (2019). Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. International Journal of Anesthesia and Clinical Medicine, 7(2), 43-46. https://doi.org/10.11648/j.ijacm.20190702.13

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ACS Style

Gu Xiaopeng; Lu Huan; Wong Hongjun; Wang Qijun; Gu Yuequan. Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. Int. J. Anesth. Clin. Med. 2019, 7(2), 43-46. doi: 10.11648/j.ijacm.20190702.13

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AMA Style

Gu Xiaopeng, Lu Huan, Wong Hongjun, Wang Qijun, Gu Yuequan. Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly. Int J Anesth Clin Med. 2019;7(2):43-46. doi: 10.11648/j.ijacm.20190702.13

Copy | Download

@article{10.11648/j.ijacm.20190702.13,
  author = {Gu Xiaopeng and Lu Huan and Wong Hongjun and Wang Qijun and Gu Yuequan},
  title = {Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {7},
  number = {2},
  pages = {43-46},
  doi = {10.11648/j.ijacm.20190702.13},
  url = {https://doi.org/10.11648/j.ijacm.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20190702.13},
  abstract = {To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Experience of Medial Column Bone Graft Combined with PHILOS Plate in the Treatment of Proximal Humeral Adductive Fracture in the Elderly
AU  - Gu Xiaopeng
AU  - Lu Huan
AU  - Wong Hongjun
AU  - Wang Qijun
AU  - Gu Yuequan
Y1  - 2019/10/10
PY  - 2019
N1  - https://doi.org/10.11648/j.ijacm.20190702.13
DO  - 10.11648/j.ijacm.20190702.13
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 43
EP  - 46
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20190702.13
AB  - To investigate the efficacy of medial column bone graft combined with PHILOS plate internal fixation for the treatment of proximal humeral adductal fractures in the elderly. The clinical data of 26 patients with proximal humeral adductal fractures were retrospectively analyzed. These patients were divided into bone graft group (14 cases, they were treated with medial column bone graft combined with PHILOS plate internal fixation) and no bone graft group (12 cases, they were treated with PHILOS plate internal fixation alone) according to whether or not the bone graft was performed. The indicators of operation time, fracture healing time, functional activity of shoulder joint and the angle loss of neck shaft angle were compared between the two groups. All patients were followed up for 12 to 23 months. There was a statistically significant difference between the two groups in the time of fracture healing, the degree of shoulder joint mobility (forward and uplift the arms) and the angle loss of neck shaft angle (P0.05). Compared with no bone graft group, medial column bone graft combined with PHILOS plate has more satisfactory clinical results for the treatment of proximal humeral adduct fracture in elderly.
VL  - 7
IS  - 2
ER  -

Copy | Download