ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ GÃY ĐẦU TRÊN XƯƠNG CÁNH TAY BẰNG KẾT HỢP XƯƠNG NẸP KHÓA TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Proximal humeral fractures is the second most common fractures of the upper extremity. Most of them are nondisplaced or minimally displaced fractures and can often be treated successfully with conservative treatment. However, approximately 15-20% of cases are displaced and unstable fractures which affect the vascular system of the proximal humerus that requires surgery. These days, open reduction-internal fixation with plates is a method used widely for fragmentary or displaced fractures. Objectives: This study focuses on functional outcomes of proximal humeral fractures fixed with Proximal humeral internal locking osteosynthesis system (PHILOS) plating at Can Tho Central General Hospital in 2018-2020. Materials and methods: 46 patients with proximal humeral fractures from group III to IV according to Neer's classification was treated with PHILOS plating. Evaluate results based on humeral neck-shaft angle after surgery and rehabilitation of the shoulder functions after 6 months using Neer C.S score. Results: Acceptable reduction of neck-shaft angle made up 93.5%. The results of rehabilitation of the shoulder functions after 6 months based on Neer C.S score: 56.5% of patients had excellent outcomes and 34.8% of patients had satisfactory outcomes. Conclusion: The study on 46 proximal humeral fracture patients treated with PHILOS plating shows outstanding results of reduction and shoulder function rehabilitation.