Efficacy comparison of PHILOS plate and intramedullary nail in the treatment of proximal humeral fractures
SHI Li-qi
LI Xiang-jun
ZHAO Jun
SUN Yi
Abstract：Objective To analyze the clinical effect of PHILOS plate and intramedullary nail in the treat-ment of proximal humeral fractures of Neer type Ⅱ and Ⅲ.Methods The clinical results of 70 patients with proximal humeral fractures of Neer type ⅡandⅢwere retrospective analyzed,who were treated in our hospital from Sep.2012 to Oct.2016.Thirty-seven cases were treated with PHILOS plate internal fixation,and the average fol-low-up time was 14.5 months(6-30 months);33 cases were treated with intramedullary nail fixation,and the aver-age follow-up time was 13.1 months(7-21months).The operation time,blood loss,Constant-Murley score of the function in the shoulder joint and postoperative complications were compared between the two groups.Result The operation time and blood loss of the intramedullary nail group were(50.2 ±9.8)min,(150.0 ±20.4)mL,respec-tively,which were better than those of the PHILOS plate group((70.9 ±10.5)min,(300.0 ±30.6)mL),with sig-nificant differences between two groups(P<0.05).No significant difference was observed in the Constant-Murley score of the shoulder joint function and the number of patients with complications(P>0.05).Conclusion There is no difference in postoperative recovery of function and complications between the PHILOS plate group and the intr -amedullary nail group,which can achieve good results,but the latter has advantages in blood loss and operation time.
Keywords：proximal humeral fractureslocking plateintramedullary nailinternal fixation
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 228-230 )