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August 2, 2025

Efficacy of PHILOS combined with n-HA/PA66 augmentation for treating three- or four-part proximal humeral fractures in elderly patients

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Authors

LLLinwei LiLZLujie ZongCTChunye Tan

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Overview

Retrospective review compares outcomes of two surgical methods for shoulder fracture fixation in elderly, suggesting n-HA/PA66 may improve specific functional results.

Key Points

  • The combined approach of PHILOS and n-HA/PA66 significantly reduced the neck-shaft angle loss compared to PHILOS alone.
  • Patients treated with n-HA/PA66 exhibited a better DASH score at 12 months, showing enhanced functional results.
  • Operative time was shorter for the n-HA/PA66 group, averaging 103.5 minutes compared to 128.6 minutes for PHILOS alone.
  • There were no significant differences in complications, with both groups reporting similar complication rates over 12 months.

Cite This Study

Li et al. (2025) studied this question.

synapsesocial.com/papers/689a0c72e6551bb0af8d0086https://doi.org/10.21203/rs.3.rs-7136478/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional Outcome of Surgical Management of Three-part and Four-part Proximal Humerus Fractures Using PHILOS Plate: A Prospective Study2025
  2. 2Clinical and Functional Outcomes of Proximal Humerus Internal Locking System Plate Fixation in Proximal Humerus Fractures: A Short-term Follow-up2025
  3. 3FUNCTIONAL AND RADIOLOGICAL OUTCOME OF PROXIMAL HUMERUS FRACTURE TREATED WITH PROXIMAL HUMERAL INTERLOCKING SYSTEM (PHILOS) PLATE2025
  4. 4A novel technique to treat osteoporotic proximal humeral fractures with diaphyseal extension2025
  5. 5INTRAMEDULLARY ALLOGRAFT AUGMENTATION OF PLATED UNSTABLE PROXIMAL HUMERUS FRACTURES: BIOMECHANICAL AND CLINICAL FINDINGS2025