| Objective: The purpose of this study is to determine the efficacy ofthe open reduction and fixation of proximal humerus shield fracture withproximal humerus internal locking System (PHILOS) and clover plate.Methods:40patients were found to be eligible and were included inthe study. These patients had all been treated for a proximal humerusfracture between2008and2011. The mean age of the20patients of thePHILOS group was67.1(34-93), including male7cases and female13cases, and ordinary group included the other20patients, male9casesand female11cases, with an average age of61.75(46-76). According toConstant-Murley absolute score, the clinical effect is retrospectivelyanalyzed by comparing proximal humerus internal locking system(PHILOS) group and clover plate group (ordinary group) of proximalhumeral shield fractures. Constant-Murley absolute value evaluationmethod as follows: full marks for100points, activities range40points,the main activities and daily life20points, deltoid muscle strength25points,10points for postoperative pain. Above90points total score foroptimal after operation,80to89for good,70to79divided into middle， and below70for poor. The rate of optimal, good and middle are summedfor satisfaction.Results: All40patients by follow-up of Constant-Murley absolutevalue score, the clinical effect of proximal humerus internal lockingSystem group (the PHILOS group) is clearly superior to ordinary surgicalmethod group (ordinary group). The PHILOS group’s satisfaction rate is95%.Conclusions: In conclusion, the proximal humerus internal lockingsystem provides satisfactory functional outcomes with complex andpulverizing proximal humeral shield fracture. The clinical efficacy of theproximal humerus internal locking system (PHILOS) is better than that ofthe clover plate. After open reduction and fixation with PHILOS, the earlyfunctional exercise is the key to curative effect. |
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