PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study
Introduction: The aim of this retrospective study was to evaluate the outcomes of older patients with 2-part proximal humerus fractures (PHFs) with medial column disruption stabilized using a proximal humeral internal locking system (PHILOS) plate plus oblique insertion of autologous fibula as a pri...
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doaj-f2f499456ab74eb78ba6edddb79049192021-03-05T23:04:05ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932021-03-011210.1177/2151459321992666PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective StudyYing Shu BM0Meiji Chen MS1Weiguang Yu MS2Zhe Ge MS3Hao Hu BM4Xinchao Zhang MS5Xianshang Zeng MS6Xiangzhen Liu MD7* Ying Shu and Meiji Chen contributed equally to this work.* Ying Shu and Meiji Chen contributed equally to this work. Department of Orthopaedics, , Yuexiu District, Guangzhou, China Department of Orthopaedics, Jinshan Hospital, , Jinshan District, Shanghai, China Department of Anesthesiology, Wuhan Fourth Hospital; Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Qiaokou District, Wuhan, China Department of Orthopaedics, Jinshan Hospital, , Jinshan District, Shanghai, China Department of Orthopaedics, , Yuexiu District, Guangzhou, China Department of Oral and Maxillofacial Surgery, , Yuexiu District, Guangzhou, ChinaIntroduction: The aim of this retrospective study was to evaluate the outcomes of older patients with 2-part proximal humerus fractures (PHFs) with medial column disruption stabilized using a proximal humeral internal locking system (PHILOS) plate plus oblique insertion of autologous fibula as a primary procedure. Materials and Methods: Data involving 112 patients (112 shoulders) sustaining 2-part PHFs with medial column disruption treated with PHILOS plate plus oblique insertion of autologous fibula as a primary procedure during 2012-2019 were identified. The median follow-up was 36 months (range: 11.2-43.5 months). The primary endpoint was the Constant scores and American Shoulder and Elbow Surgeons (ASES) scores. The secondary endpoint was the main orthopedic complication rate. Results: The median Constant and ASES scores were 78 (range, 52-95) and 77 (range, 62-96) at the final follow-up, respectively. The main orthopedic complication rate was 10.7% (12/112). Twelve orthopedic complications in 8 patients were detected, and they involved loss of reduction, varus collapse, aseptic loosening, mal-union, revision, and intolerable shoulder pain. Of these complications, 3 (2.6%) involved loss of reduction, 2 (1.7%) involved varus collapse, 3 (2.6%) involved aseptic loosening, 1 (0.8%) involved mal-union, 2 (1.7%) required revision surgery, and 1 (0.8%) presented intolerable shoulder pain. Conclusion: PHILOS plate plus oblique insertion of autologous fibula as a primary procedure may yield good functional outcomes and a low rate of the main orthopedic complications.https://doi.org/10.1177/2151459321992666 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ying Shu BM Meiji Chen MS Weiguang Yu MS Zhe Ge MS Hao Hu BM Xinchao Zhang MS Xianshang Zeng MS Xiangzhen Liu MD |
spellingShingle |
Ying Shu BM Meiji Chen MS Weiguang Yu MS Zhe Ge MS Hao Hu BM Xinchao Zhang MS Xianshang Zeng MS Xiangzhen Liu MD PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study Geriatric Orthopaedic Surgery & Rehabilitation |
author_facet |
Ying Shu BM Meiji Chen MS Weiguang Yu MS Zhe Ge MS Hao Hu BM Xinchao Zhang MS Xianshang Zeng MS Xiangzhen Liu MD |
author_sort |
Ying Shu BM |
title |
PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study |
title_short |
PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study |
title_full |
PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study |
title_fullStr |
PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study |
title_full_unstemmed |
PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study |
title_sort |
philos plate plus oblique insertion of autologous fibula for 2-part proximal humerus fractures with medial column disruption: a retrospective study |
publisher |
SAGE Publishing |
series |
Geriatric Orthopaedic Surgery & Rehabilitation |
issn |
2151-4593 |
publishDate |
2021-03-01 |
description |
Introduction: The aim of this retrospective study was to evaluate the outcomes of older patients with 2-part proximal humerus fractures (PHFs) with medial column disruption stabilized using a proximal humeral internal locking system (PHILOS) plate plus oblique insertion of autologous fibula as a primary procedure. Materials and Methods: Data involving 112 patients (112 shoulders) sustaining 2-part PHFs with medial column disruption treated with PHILOS plate plus oblique insertion of autologous fibula as a primary procedure during 2012-2019 were identified. The median follow-up was 36 months (range: 11.2-43.5 months). The primary endpoint was the Constant scores and American Shoulder and Elbow Surgeons (ASES) scores. The secondary endpoint was the main orthopedic complication rate. Results: The median Constant and ASES scores were 78 (range, 52-95) and 77 (range, 62-96) at the final follow-up, respectively. The main orthopedic complication rate was 10.7% (12/112). Twelve orthopedic complications in 8 patients were detected, and they involved loss of reduction, varus collapse, aseptic loosening, mal-union, revision, and intolerable shoulder pain. Of these complications, 3 (2.6%) involved loss of reduction, 2 (1.7%) involved varus collapse, 3 (2.6%) involved aseptic loosening, 1 (0.8%) involved mal-union, 2 (1.7%) required revision surgery, and 1 (0.8%) presented intolerable shoulder pain. Conclusion: PHILOS plate plus oblique insertion of autologous fibula as a primary procedure may yield good functional outcomes and a low rate of the main orthopedic complications. |
url |
https://doi.org/10.1177/2151459321992666 |
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