Comparison of clinical effectiveness of LPHP internal fixation and conservation treatment for Neer type 3 proximal humeral fracture in aged patients
HUANG Yongfeng
YE Jin
ZOU Zhongbing
BAI Bo
Abstract：Objective To compare the therapeutic effects between locking proximal humerus plate (LPHP) internal fixation and conservation treatment for Neer type 3 proximal humeral fracture in elderly. Methods Clinical data of 50 elderly patients with Neer type 3 proximal humeral fractures treated in Yunfu People's Hospital were retrospectively analyzed. The patients were divided into LPHP group (n = 22, receiving LPHP internal fixation) and conservation group (n = 28, receiving close reduction and plaster fixation). Hospital stay, cost of hospitalization and fracture healing time in two groups were recorded, postoperative complications were <br> observed, shoulder functions were evaluated according to Neer scoring system at six months after the surgery. Results All patients were followed up for 6-26 months with the average of 14.5 months. In LPHP internal fixation group, length of hospital stay was longer, and cost of hospitalization was higher compared with conservation group; At 6 months postoperatively, Neer excellent and good rate was better than that in conservation group. There were statistical differences between two groups (P <0.05). No complications of decubitus, hypostatic pneumonia or ischemic necrosis of humeral head were found. Complication incidence in LPHP group was 18% while in conservation group was 54%, the differences had statistical significance (P <0.05). Conclusions LPHP internal fixation is a good choice for elderly patients with Neer type 3 proximal humeral fracture, which could provide stable fixation, good shoulder rehabilitation and less complications compared with conservation group.
Keywords：Humeral fracturesShoulder fracturesFracture fixationinternalBone platesConservation treatmentAged
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 84-88 )