FIGURE 3 - available via license: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
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A 78-year-old female patient with left proximal humerus fracture (a four-part fracture as defined by the Neer classification) caused by lowenergy trauma. (A, B) X-rays and CT showed a fracture of the left proximal humerus. (C, D) X-ray observation of the left proximal humeral fracture immediately after open reduction with cannulated bone cement-augmented screws combined with PHILOS plate internal fixation. Satisfactory fracture reduction and internal fixation were obtained, without bone cement leakage. (E, F) X-ray re-examination 24 months after surgery. There was no evidence of necrosis, including collapse of the humeral head, screw loosening, perforation of the humeral head. (G-I) Functional observation of the shoulder joint 24 months after surgery.
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Objectives
The mid‐ and long‐term clinical outcomes of cement‐augmented screws in the treatment of osteoporotic proximal humeral fractures have rarely been reported. The aim of this study was to observe the mid‐ and long‐term efficacy of combined cement‐augmented screw fixation and PHILOS plating in the treatment of osteoporotic fractures of the pr...
