Volume 24, Issue 103, May - June, 2020

Radiography results and evaluation of closed proximal humerus fractures treatment in elderly patients

Minh-Hoang Nguyen¹, Ngoc- Thanh Do², Huu- Hung Phan³, Quang-Tri Lê^4♦

¹Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: nthoang@ntt.edu.vn; bsnguyenminhhoang@yahoo.com.vn; https://orcid.org/0000-0002-5021-669X
²Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: bs.dongocthanh@gmail.com
³Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: bsphhung@gmail.com
⁴Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn; tsbstri@yahoo.com; https://orcid.org/0000-0002-2777-0828

^♦Corresponding author
Department of Orthopedics, 7A Military Hospital, 466 Nguyen Trai Street, Ward 8, District 5, Ho Chi Minh City, 72706, Viet Nam; Email: lqtri@ntt.edu.vn; tsbstri@yahoo.com

ABSTRACT

Aim: This study aimed to evaluate the radiography results and osteoporosis conditions, the treatment outcomes using screw plate bone fusion (SPBF) of closed proximal humerus fractures (PHF) in aged patients treated in 7A Military Hospital (Hochiminh City, Vietnam), and made indications for treatment of such cases. Methods: This study investigated 29 patients with closed PHF, aged over 60, and was treated with screw plate bone fusion in 7A Military Hospital from Jan 2014 to Dec 2018. Then 24 of them were monitored postoperatively for an average time of 16.3 (8) months to evaluate the outcomes. Results: All patients had a bone union in which ten had no deviation, thirteen had a slight deviation, and one had considerable deviation. For bone density, 19/24 patient had T < -2.5 and 5 patients had T > -2.5. “Good” and “very good” outcomes took place in 95.8% of patients and “average” in 4.2%. Discussion: High prevalence of osteoporosis agrees well with the literature, and osteoporosis is a significant challenge for the treatment of PHF. The treatment outcomes were generally satisfactory in comparison with other studies. Conclusion: Screw plate bone fusion for closed PHF in aged patients can yield positive results; however, severe cases of osteoporosis (T <-2.5) require careful consideration due to the risk of postoperative secondary deviation at the fracture site.

Keywords: Proximal Humerus Fractures; Screw Plate; The Elderly

Medical Science, 2020, 24(103), 1433-1438

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