Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy
Abstract Background This study aimed to compare the clinical efficacy of locking plate and intramedullary nail fixations in the treatment of patients with OTA/AO type 11C proximal humerus fractures. Methods We retrospectively analyzed the data of patients with OTA/AO type 11C1.1 and 11C3.1 proximal...
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06567-8 |
| _version_ | 1797806946720415744 |
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| author | Minghui Wang Xiuhui Wang Pan Cai Shengyang Guo Beigang Fu |
| author_facet | Minghui Wang Xiuhui Wang Pan Cai Shengyang Guo Beigang Fu |
| author_sort | Minghui Wang |
| collection | DOAJ |
| description | Abstract Background This study aimed to compare the clinical efficacy of locking plate and intramedullary nail fixations in the treatment of patients with OTA/AO type 11C proximal humerus fractures. Methods We retrospectively analyzed the data of patients with OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures who underwent surgery at our institution from June 2012 to June 2017. Perioperative indicators, postoperative morphological parameters of the proximal humerus, and Constant–Murley scores were evaluated and compared. Results Sixty-eight patients with OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures were enrolled in this study. Overall, 35 patients underwent open reduction and plate screw internal fixation, and 33 patients underwent limited open reduction and locking of the proximal humerus with intramedullary nail internal fixation. The total cohort had a mean follow-up duration of 17.8 months. The mean operation time of the locking plate group was significantly longer than that of the intramedullary nail group (P < 0.05), while the mean bleeding volume was significantly higher in the locking plate group than that in the intramedullary nail group (P < 0.05). The initial neck–shaft angles, final neck–shaft angles, forward flexion ranges, or Constant–Murley scores did not show significant differences between the two groups (P > 0.05). Complications, including screw penetrations, acromion impingement syndrome, infection, and aseptic necrosis of the humeral head, occurred in 8 patients (8/35, 22.8%) in the locking plate group and 5 patients in the intramedullary nail group (5/33, 15.1%; including malunion and acromion impingement syndrome), with no significant difference between the groups (P > 0.05). Conclusions Similar satisfactory functional results can be achieved with locking plates and intramedullary nailing for OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures, with no significant difference in the number of complications between these two techniques. However, intramedullary nailing has advantages over locking plates for OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures in terms of operation time and bleeding volume. |
| first_indexed | 2024-03-13T06:15:06Z |
| format | Article |
| id | doaj.art-f063452db69e45a882565a7114f416aa |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-13T06:15:06Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-f063452db69e45a882565a7114f416aa2023-06-11T11:03:44ZengBMCBMC Musculoskeletal Disorders1471-24742023-06-012411810.1186/s12891-023-06567-8Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacyMinghui Wang0Xiuhui Wang1Pan Cai2Shengyang Guo3Beigang Fu4Department of Orthopedics, Shanghai University of Medicine & Health Sciences Affiliated to Zhoupu HospitalDepartment of Orthopedics, Shanghai University of Medicine & Health Sciences Affiliated to Zhoupu HospitalDepartment of Orthopedics, Shanghai University of Medicine & Health Sciences Affiliated to Zhoupu HospitalDepartment of Orthopedics, Shanghai University of Medicine & Health Sciences Affiliated to Zhoupu HospitalDepartment of Orthopedics, Shanghai University of Medicine & Health Sciences Affiliated to Zhoupu HospitalAbstract Background This study aimed to compare the clinical efficacy of locking plate and intramedullary nail fixations in the treatment of patients with OTA/AO type 11C proximal humerus fractures. Methods We retrospectively analyzed the data of patients with OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures who underwent surgery at our institution from June 2012 to June 2017. Perioperative indicators, postoperative morphological parameters of the proximal humerus, and Constant–Murley scores were evaluated and compared. Results Sixty-eight patients with OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures were enrolled in this study. Overall, 35 patients underwent open reduction and plate screw internal fixation, and 33 patients underwent limited open reduction and locking of the proximal humerus with intramedullary nail internal fixation. The total cohort had a mean follow-up duration of 17.8 months. The mean operation time of the locking plate group was significantly longer than that of the intramedullary nail group (P < 0.05), while the mean bleeding volume was significantly higher in the locking plate group than that in the intramedullary nail group (P < 0.05). The initial neck–shaft angles, final neck–shaft angles, forward flexion ranges, or Constant–Murley scores did not show significant differences between the two groups (P > 0.05). Complications, including screw penetrations, acromion impingement syndrome, infection, and aseptic necrosis of the humeral head, occurred in 8 patients (8/35, 22.8%) in the locking plate group and 5 patients in the intramedullary nail group (5/33, 15.1%; including malunion and acromion impingement syndrome), with no significant difference between the groups (P > 0.05). Conclusions Similar satisfactory functional results can be achieved with locking plates and intramedullary nailing for OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures, with no significant difference in the number of complications between these two techniques. However, intramedullary nailing has advantages over locking plates for OTA/AO type 11C1.1 and 11C3.1 proximal humerus fractures in terms of operation time and bleeding volume.https://doi.org/10.1186/s12891-023-06567-8Clinical efficacyOTA/AO type 11C1.1 and 11C3.1Proximal humerus neck fracturesLocking plateIntramedullary nail |
| spellingShingle | Minghui Wang Xiuhui Wang Pan Cai Shengyang Guo Beigang Fu Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy BMC Musculoskeletal Disorders Clinical efficacy OTA/AO type 11C1.1 and 11C3.1 Proximal humerus neck fractures Locking plate Intramedullary nail |
| title | Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy |
| title_full | Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy |
| title_fullStr | Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy |
| title_full_unstemmed | Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy |
| title_short | Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy |
| title_sort | locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures ota ao type 11c a preliminary comparison of clinical efficacy |
| topic | Clinical efficacy OTA/AO type 11C1.1 and 11C3.1 Proximal humerus neck fractures Locking plate Intramedullary nail |
| url | https://doi.org/10.1186/s12891-023-06567-8 |
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