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《Orthopaedics》 2012-01
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Treatment of complex humeral proximal fracture with locking proximal humerus plate

XU De-li,LIN Hao,LI Chi.Department of Orthopedics,People's Hospital of Dongxihu District,Wuhan 430040,China  
Objective To investigate the clinical effectiveness and surgical procedures of locking proximal humerus plate for complex proximal humeral fracture.Methods A total of 49 cases of complex proximal humeral fractures were treated by locking proximal humerus plate.According to the Neer classification,there were 32 cases of three-part fractures and 17 cases of four-part fractures.Neer numerical rating system was employed to evaluate postoperative function of the involved shoulder.Results 47 cases were followed up 12 to 36 months(mean 20 months).All cases were healed,and no serious complications occurred.According to the Neer numerical rating system,the result was excellent in 17 cases and satisfactory in 26 cases,with total excellence and good rate being 91.5%.Conclusion The locking proximal humerus plate is an effective and safe method for complex proximal humeral fractures.To protect the integrity of soft tissue chain of medial humerus and the effective medial column support of proximal humerus is the key to the success of surgical operation.
【CateGory Index】: R687.3
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