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《Journal of Traumatic Surgery》 2018-03
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Efficacy comparison of PHILOS plate and intramedullary nail in the treatment of proximal humeral fractures

SHI Li-qi;LI Xiang-jun;ZHAO Jun;SUN Yi;Department of Orthopaedics,Yuyao Hospital of Traditional Chinese Medicine;  
Objective To analyze the clinical effect of PHILOS plate and intramedullary nail in the treatment of proximal humeral fractures of Neer type Ⅱ and Ⅲ. Methods The clinical results of 70 patients with proximal humeral fractures of Neer type Ⅱ and Ⅲ were retrospective analyzed,who were treated in our hospital from Sep. 2012 to Oct. 2016. Thirty-seven cases were treated with PHILOS plate internal fixation,and the average follow-up time was 14. 5 months( 6-30 months); 33 cases were treated with intramedullary nail fixation,and the average follow-up time was 13. 1 months( 7-21 months). The operation time,blood loss,Constant-Murley score of the function in the shoulder joint and postoperative complications were compared between the two groups. Result The operation time and blood loss of the intramedullary nail group were( 50. 2 ± 9. 8) min,( 150. 0 ± 20. 4) m L,respectively,which were better than those of the PHILOS plate group(( 70. 9 ± 10. 5) min,( 300. 0 ± 30. 6) m L),with significant differences between two groups( P 0. 05). No significant difference was observed in the Constant-Murley score of the shoulder joint function and the number of patients with complications( P 0. 05). Conclusion There is no difference in postoperative recovery of function and complications between the PHILOS plate group and the intramedullary nail group,which can achieve good results,but the latter has advantages in blood loss and operation time.
【CateGory Index】: R687.3
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