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KMID : 0858320110140010027
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Journal of the Korean Shoulder Elbow Society
2011 Volume.14 No. 1 p.27 ~ p.34
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Operative Treatment of Displaced Proximal Humerus Fractures with the Angular Stable Locking Compression Plate
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Kim Dong-Wook
Kim Chong-Kwan
Jung Sung-Weon
Kim Hyeon-Soo
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Abstract
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Purpose: We examined the clinical and radiological outcomes for displaced proximal humerus fractures that were treated with a PHILOS angular stable plate.
Materials and Methods : Forty four patients who underwent surgery between March 2007 and February 2010 were included in this study. All the cases were followed up for an average of 12 months. All the patients were examined and interviewed using the Visual Analog Scale (VAS) score, the Constant score and standardized Xrays to check the neck-shaft angle (NSA) and the presence of medial support.
Results: The average Visual Analog Scale score was 2.8 points and the average Constant score was 70.5 points. The average neck shaft angle was 122.5° and this was statistically significant between the good result group and the poor result group. There were 36 cases of the presence of medial support and 8 cases of the absence of medial support and the difference was statistically significant. Complications such as fixation failure happened in 12 cases.
Conclusion:PHILOS angular stable plate fixation as an operative treatment for displaced proximal humerus fractures is a good and reliable treatment option.
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KEYWORD
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Humerus, Displaced proximal humerus fracture, Angular stable locking compression plate, PHILOS plate
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