应用长PHILOS接骨板治疗肱骨近端长节段骨折

Application of long PHILOS locking compression plate for treatment of proximal humerus long segment fractures

目的探讨长PHILOS接骨板治疗肱骨近端长节段骨折的疗效。方法应用长PHILOS接骨板结合MIPO技术治疗22例肱骨近端长节段骨折患者。结果患者均获随访,时间8～36个月,骨折全部愈合。按照Neer肩关节功能评分标准:优12例,良8例,可2例。结论应用长PHILOS接骨板结合MIPO技术治疗肱骨近端长节段骨折固定可靠,可以早期功能锻炼,术后功能恢复满意,是治疗肱骨近端长节段骨折有效的方法。

Objective To explore the treatment effect of long proximal humeral internal locking system （PHILOS）for proximal humeral long segment fractures. Methods 27 cases of proximal humeral long segment fractures were trea- ted with long PHILOS locking compression plate combined with MIPO technology. Results All patients were fol- lowed up for 8 -36 months, all fractures were union. By Neer shoulder scoring system, 12 cases were excellent, 8 good, and 2 fair. Conclusions Applying long PHILOS locking compression plate combined with MIPO technology in treatment of proximal humeral long segment fractures provides a stable fixation and earlier rehabilitation. It is an ef- fective method for proximal humeral long segment fractures.