Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Proximal humeral fractures (PHFs) account for 4-5% of all fractures in the elderly. There is still a controversy among the treatments in the displaced PHFs. Our aim was to explore the clinical outcome of PHFs with the treatment of MultiLoc nail or Philos plate in the elderly patients.
Methods: A total of 82 sustained elderly patients with PHFs were finally recruited between Dec 2016 and Dec 2017. 34 patients were treated with MultiLoc nail and 48 patients were treated with Philos plate. The demographics, fracture types, blood loss, operation time, union time, postoperative complications, visual analog scores (VASs), Constant scores, American Shoulder and Elbow Scores (ASESs), and neck-shaft-angle (NSA) between the two groups were compared.
Results: No differences were observed in the demographics, fracture types, VAS, Constant scores, and ASES scores between the two groups at final follow-up. Compared with the plate group, the blood loss, operation time, and union time were significantly lower in the nail group (all < .05). The rate of general complications was 54.17% in the plate group, which was higher than that in the nail group (26.47%, = .01). Three patients experienced reoperation in the plate group (3/48; 6.25%), but none in the nail group. Although there were no significant differences in intraoperative NSA between the two groups, the NSA at final follow-up in the nail group was much higher than the plate group (137.55 ± 5.53°vs 134.47 ± 5.92°, = .02).
Conclusions: Multiloc intramedullary nail showed the similar effectiveness of final VAS, final Constant scores, and ASES scores in PHFs treatment with Philos plate. However, MultiLoc nail is superior to Philos plate in blood loss, operation time, complications, reoperation rate, and the change of NSA.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8477691 | PMC |
| http://dx.doi.org/10.1177/21514593211043961 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
This study aims to investigate the anatomical incongruity between the proximal humerus and the PHILOS plate, which may lead to varus malreduction when this plate is used for indirect reduction. Fifty Asian cadaveric human humeri were included in the study. Three-hole and five-hole PHILOS plates were appropriately positioned on the lateral cortex of the proximal humerus.
View Article and Find Full Text PDFBiomechanical Performance of Four Cement-Augmented vs. Six Non-Augmented Screws in Low Bone Density Humerus Fractures.
J Shoulder Elbow Surg
August 2025
Department of Orthopedic and Trauma Surgery, Lucerne Cantonal Hospital, Lucerne, Switzerland; Medical Faculty, University of Zurich, Zurich, Switzerland.
Background: Proximal humerus fractures are frequent in patients with low bone mineral density. PHILOS plates are widely used with either Minimally Invasive Plate Osteosynthesis (MIPO) or Open Reduction and Internal Fixation (ORIF) techniques. However, it remains unclear whether four cement-augmented screws provide biomechanical stability comparable to four non-augmented screw plus two additional calcar screws in unstable fractures in osteoporotic bone.
View Article and Find Full Text PDFScattering analysis of circular apertures excited by off-axis sources by means of dual integral equations and analytical regularization.
Philos Trans A Math Phys Eng Sci
August 2025
DIAEE, University of Rome La Sapienza, Rome, Lazio, Italy.
The transmission of the electromagnetic field through a circular aperture in a perfectly conducting plate is evaluated through a rapidly convergent formulation in exact form. The source (a circular loop of constant current) and the receiver of the electromagnetic field can be arbitrarily placed in the two half spaces. By applying the equivalence principle, the problem is first formulated in the Hankel transform domain, obtaining a set of dual integral equations having as unknown the equivalent surface magnetic current density defined on the aperture.
View Article and Find Full Text PDFComparative Wiener-Hopf analysis of the radar cross sections of two canonical, parallel-plate waveguide cavities with material loading.
Philos Trans A Math Phys Eng Sci
August 2025
Department of Electrical, Electronic, and Communication Engineering, Chuo University, Bunkyo-ku, Tokyo 112-8551, Japan.
This paper presents a review of the authors' research on the radar cross section (RCS) of two canonical waveguide cavities. A rigorous RCS analysis is carried out using the Wiener-Hopf technique for the two-dimensional cavities formed by a terminated, semi-infinite parallel-plate waveguide with three-layer material loading (cavity I) and a terminated, finite parallel-plate waveguide with three-layer material loading (cavity II). Both - and -polarizations are considered.
View Article and Find Full Text PDFThe management of pathological fracture of the proximal femur in children using PHILOS plating: A case reports.
Int J Surg Case Rep
September 2025
Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Indonesia Cipto Mangunkusumo Hospital, Jakarta, Indonesia. Electronic address:
Introduction: Pathological fractures of the proximal femur in children, often resulting from conditions such as fibrous dysplasia and simple bone cysts, present significant treatment challenges. This study aims to evaluate the outcomes of utilizing the Adult Proximal Humeral Internal Locking System (PHILOS) plating in treating pediatric proximal femur fractures resulting from benign non-neoplastic bone lesions.
Case Presentation: This case report describes two pediatric patients treated with PHILOS plating for proximal femur fractures.