Outcomes of Locking Plate Fixation With Spine Cage for Unstable Proximal Humeral Fractures in Elderly Patients

Objective:

To compare the clinical and radiological results of locking plate fixation with and without spine cage for the treatment of unstable proximal humeral fractures in elderly patients.

Design:

Retrospective study.

Setting:

Level 1 Trauma Center.

Patients/Participants:

A total of 62 patients with a mean age of 72.68 (60–88) years were included. Thirty-nine patients were treated with only a locking compression plate (LCP group), whereas 23 patients were treated with a locking compression plate and a spine cage (SC group). The mean follow-up was 32.26 (24–46) months.

Main outcome measures:

Radiological outcomes were assessed using the humeral head height and neck–shaft angle. The clinical results were evaluated using a visual analog scale for pain, the Constant–Murley score, the American Shoulder and Elbow score, and shoulder range of motion.

Results:

The average radiological changes in the humeral head height and neck–shaft angle were significantly higher in the LCP group than in the SC group (P

Source: Journal of Orthopaedic Trauma - August 26, 2022 Category: Orthopaedics Tags: Original Article Source Type: research