Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures

Jin JIA; Xiaotao LU; Shun MENG; Yongcheng DENG; Yihao LEI; Kaiyu HOU

doi:10.12259/j.issn.2095-610X.S20220206

Volume 43 Issue 2

Mar. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(2): 82-88

Jin JIA, Xiaotao LU, Shun MENG, Yongcheng DENG, Yihao LEI, Kaiyu HOU. Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures[J]. Journal of Kunming Medical University, 2022, 43(2): 82-88. doi: 10.12259/j.issn.2095-610X.S20220206

Citation:

Jin JIA, Xiaotao LU, Shun MENG, Yongcheng DENG, Yihao LEI, Kaiyu HOU. Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures[J]. Journal of Kunming Medical University, 2022, 43(2): 82-88. doi: 10.12259/j.issn.2095-610X.S20220206

Citation:

Jin JIA, Xiaotao LU, Shun MENG, Yongcheng DENG, Yihao LEI, Kaiyu HOU. Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures[J]. Journal of Kunming Medical University, 2022, 43(2): 82-88. doi: 10.12259/j.issn.2095-610X.S20220206

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Comparison of the Efficacy of Double Plates and Locking Plates in the Treatment of Complex Proximal Humerus Fractures

doi: 10.12259/j.issn.2095-610X.S20220206

Dept. of Bone and Trauma Surgery，The Fourth Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650021，China

Received Date: 2021-12-08
Available Online: 2022-02-24
Publish Date: 2022-03-04

Abstract

Abstract

Objective To compare the clinical efficacy of double plates and locking plates in the treatment of complex proximal humerus fractures. Methods Fifty-seven patients admitted to the Department of Bone and Trauma Surgery of the Fourth Affiliated Hospital of Kunming Medical University from 01 2015 to 01 2020 who underwent surgical incisional reduction and internal fixation treatment and met the inclusion criteria for proximal humerus fractures were selected. According to the different fixation methods, they were divided into the double plate group （group A, 28 cases） and the locked plate group （group B, 29 cases）, and the clinical efficacy of the 2 groups was comprehensively evaluated by comparing the indices of surgery, treatment effect, postoperative functional recovery and the occurrence of complications. Results The operating time, intraoperative bleeding, intraoperative fluoroscopy time, and postoperative incisional drainage were worse in group A than in group B （P < 0.05）, but the postoperative loss of neck stem angle, humeral head inversion angle, loss of humeral height, Constant function score, and VAS score were better in group A than in group B （P < 0.05）; there was no significant difference in the overall postoperative complication rate （P > 0.05 ）. Conclusion Both double plates and locking plates can effectively treat complex proximal humerus fractures, but double plates are more effective in terms of fixation stability and functional recovery, and are more suitable for treating patients with complex fracture types, severe comminution, and incomplete medial column support.
- Proximal humerus fracture,
- Locking plate,
- Double plate,
- ORIF.

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References(20)

References

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