PHILOS钢板治疗肱骨近端骨折手术治疗的功能效果评价

M. Shekhawat, Ankit Narang, Ankit Singh
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摘要

背景:本研究旨在评估解剖锁定加压(PHILOS-肱骨近端联锁系统)钢板治疗肱骨近端骨折的功能结果。方法:对肱骨近端骨折患者进行前瞻性研究。符合纳入标准的患者被邀请参加研究。所有愿意参与研究的患者都获得了知情同意。结果:6周后的平均constant和murley评分为33.34分,3个月后的平均constant和murley评分为54.02分,6个月后的平均murley评分为73.6分。在同一时区,A型患者在1.5个月、3个月和6个月的平均得分分别为37.47、58.35、77.12,B型患者分别为34.64、55.95、75.69,C型患者分别为33.44、54.14、73.71。结论:Philos钢板内固定治疗肱骨近端骨折具有良好的稳定性和良好的功能预后,是一种可行的选择。关键词:Philos钢板,肱骨近端骨折,肩关节骨折
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Assessment of Functional Outcome of Surgical Management of Proximal Humerus Fracture Treated with PHILOS Plate
Background: This study is conducted to evaluate the results in terms of functional outcome of proximal humeral fractures treated by anatomic locking compression (PHILOS- proximal humerus interlocking system) plate. Methods: This prospective study was a study on patients with fracture of proximal humerus. Patients who fulfilled the inclusion criteria were invited to participate in the study. Informed consent was obtained from all the patients willing to participate in the study. Results: The average constant and murley score after 6 weeks was 33.34  point,  after 3 month it was 54.02 points and after 6 month it was 73.6 point . For the same time zones the mean score for type A was 37.47 , 58.35, 77.12, for type B was 34.64, 55.95, 75.69 and for type C was 33.44, 54.14, 73.71  at 1.5,  3 and 6 month respectively. Conclusions: Philos plate fixation for proximal humeral fractures provides good stable fixation with good functional outcome and is a feasible option. Keywords: Philos plating, Proximal humerus fractures, Shoulder fractures
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