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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 LiFudan UniversityLZLujie ZongSoochow UniversityCTChunye TanSoochow University

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Implication

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 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Development of an upper extremity outcome measure: The DASH (disabilities of the arm, shoulder, and head)1996 · 5,074 citations
  2. 2A network meta-analysis of multiple modalities for the treatment of complex proximal humeral fractures in older adults2023 · 12 citations
  3. 3Minimally invasive plate osteosynthesis with PHILOS plate for proximal humerus fractures2016 · 39 citations