Purpose： The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as...Purpose： The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as a high rate of complications. Our retrospective study aims to evaluate clinical recovery and complications using the S3 locking plate in elderly patients. Methods： Fifty-one patients older than 65 years of age, with a complex proximal humeral fracture type B or C （AO classification system）, were included. Patients have been followed up for a minimum of 12 months. We assessed callus formation, radiological results, clinical outcome （according to the Constant Shoulder Score System） and complications. Any difference in the clinical recovery among the 2 types of fracture pattern （B and C） was investigated. Results： The mean time of fracture healing was 12.4 weeks. The mean Constant score at 3, 6 and 12 months was 68, 73 and 75 respectively. No statistically significant difference in the clinical outcome was observed between the 13 and C fracture patterns （p 〉 0.05）. We noticed an overall of 5 complications （9.8%）. There was no need to revision any of the implants. Conclusion： Anatomic reduction and proper plate positioning are essential for minimizing implant- related complications. In our experience the S3 angular stability system offers a proper osteosyntesis and a ~ood clinical recovery with a low rate of complications.展开更多
文摘Purpose： The optimal surgical treatment of displaced type B and C fractures of the proximal humerus in the elderly remains controversial. Good clinical results have been reported by plating these fractures as well as a high rate of complications. Our retrospective study aims to evaluate clinical recovery and complications using the S3 locking plate in elderly patients. Methods： Fifty-one patients older than 65 years of age, with a complex proximal humeral fracture type B or C （AO classification system）, were included. Patients have been followed up for a minimum of 12 months. We assessed callus formation, radiological results, clinical outcome （according to the Constant Shoulder Score System） and complications. Any difference in the clinical recovery among the 2 types of fracture pattern （B and C） was investigated. Results： The mean time of fracture healing was 12.4 weeks. The mean Constant score at 3, 6 and 12 months was 68, 73 and 75 respectively. No statistically significant difference in the clinical outcome was observed between the 13 and C fracture patterns （p 〉 0.05）. We noticed an overall of 5 complications （9.8%）. There was no need to revision any of the implants. Conclusion： Anatomic reduction and proper plate positioning are essential for minimizing implant- related complications. In our experience the S3 angular stability system offers a proper osteosyntesis and a ~ood clinical recovery with a low rate of complications.
