Purpose: The purpose of this study is to review our experience with proximal humeral locking plates, including complications, functional outcomes, strength recovery and predictors of successful treatment. Methods: Seventy unstable proximal humeral fractures were treated with open reduction internal fixation (ORIF) with the use of locking proximal humerus plate. At an average follow-up of 31 months, the clinical and subjective outcomes were evaluated, and complication was analysed. Results: The average Constant score was 72. The mean disabilities of the arm, shoulder and hand score was 23. The average range of motion was as follows: mean range of anterior elevation and abduction 120°-150°; external rotation in abduction 64° and in adduction 44°; and internal rotation T12. Conclusion: On the basis of the overall functional and clinical outcome obtained, it is possible to suggest that the ORIF of the proximal humerus fractures using locking plate represents a helpful option that can lead to a good clinical and functional outcome even in the most complex fractures. Level of evidence, Case Series, Treatment Study, Level IV. © 2013 Istituto Ortopedico Rizzoli.
Can the osteosynthesis with locking plates be a better treatment for unstable fractures of the proximal humerus? / Verdano, M. A.; Lunini, E.; Pellegrini, A.; Corsini, T.; Marenghi, P.; Ceccarelli, F.. - In: MUSCULOSKELETAL SURGERY. - ISSN 2035-5106. - 98:1(2014), pp. 27-33. [10.1007/s12306-013-0267-y]
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