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Long Term Results of PHILOS Plating and Percutaneous K-Wire Fixation in Proximal Humerus Fractures in The Elderly
This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open red...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Malaysian Orthopaedic Association
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093541/ https://www.ncbi.nlm.nih.gov/pubmed/25279077 http://dx.doi.org/10.5704/MOJ.1403.010 |
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author | Jaura, GS Sikdar, J Singh, S |
author_facet | Jaura, GS Sikdar, J Singh, S |
author_sort | Jaura, GS |
collection | PubMed |
description | This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open reduction and internal fixation with Proximal Humeral Internal Locking System (PHILOS) plate and 30 patients (Group 2) who were treated with percutaneous K-wire fixation. Functional outcome was assessed using Visual Analogue Scale(VAS) and Constant-Murley Score. Mean Constant-Murley score was 84.6 points (range: 61- 100) in Group 1 and - 76.4 points(range:56-100) in Group 2 at final follow up. Values varied depending upon the fracture type with worst in 4-part fractures. Mean VAS Score was 2.6(range:0-10) in Group 1 and 3.8(range:0-10) in Group 2. We obtained satisfactory results in both the groups, with each procedure having its advantages and shortcomings. We found that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range-ofmotion exercises to achieve acceptable functional results. Fixation with percutaneous K-wires presented an efficient treatment option with the advantages of minimal invasiveness and soft tissue dissection. KEY WORDS: Proximal humerus fractures, PHILOS plate and K-wires |
format | Online Article Text |
id | pubmed-4093541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Malaysian Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-40935412014-10-02 Long Term Results of PHILOS Plating and Percutaneous K-Wire Fixation in Proximal Humerus Fractures in The Elderly Jaura, GS Sikdar, J Singh, S Malays Orthop J Research Article This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open reduction and internal fixation with Proximal Humeral Internal Locking System (PHILOS) plate and 30 patients (Group 2) who were treated with percutaneous K-wire fixation. Functional outcome was assessed using Visual Analogue Scale(VAS) and Constant-Murley Score. Mean Constant-Murley score was 84.6 points (range: 61- 100) in Group 1 and - 76.4 points(range:56-100) in Group 2 at final follow up. Values varied depending upon the fracture type with worst in 4-part fractures. Mean VAS Score was 2.6(range:0-10) in Group 1 and 3.8(range:0-10) in Group 2. We obtained satisfactory results in both the groups, with each procedure having its advantages and shortcomings. We found that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range-ofmotion exercises to achieve acceptable functional results. Fixation with percutaneous K-wires presented an efficient treatment option with the advantages of minimal invasiveness and soft tissue dissection. KEY WORDS: Proximal humerus fractures, PHILOS plate and K-wires Malaysian Orthopaedic Association 2014-03 /pmc/articles/PMC4093541/ /pubmed/25279077 http://dx.doi.org/10.5704/MOJ.1403.010 Text en Copyright © 2014, Malaysian Orthopaedic Journal This article is distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Research Article Jaura, GS Sikdar, J Singh, S Long Term Results of PHILOS Plating and Percutaneous K-Wire Fixation in Proximal Humerus Fractures in The Elderly |
title | Long Term Results of PHILOS Plating and Percutaneous
K-Wire Fixation in Proximal Humerus Fractures in The
Elderly |
title_full | Long Term Results of PHILOS Plating and Percutaneous
K-Wire Fixation in Proximal Humerus Fractures in The
Elderly |
title_fullStr | Long Term Results of PHILOS Plating and Percutaneous
K-Wire Fixation in Proximal Humerus Fractures in The
Elderly |
title_full_unstemmed | Long Term Results of PHILOS Plating and Percutaneous
K-Wire Fixation in Proximal Humerus Fractures in The
Elderly |
title_short | Long Term Results of PHILOS Plating and Percutaneous
K-Wire Fixation in Proximal Humerus Fractures in The
Elderly |
title_sort | long term results of philos plating and percutaneous
k-wire fixation in proximal humerus fractures in the
elderly |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093541/ https://www.ncbi.nlm.nih.gov/pubmed/25279077 http://dx.doi.org/10.5704/MOJ.1403.010 |
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