ArticleFrontiers in surgery2025
Comparison of the efficacy of Philos plate and Multiloc intramedullary nail in the treatment of complex proximal humeral fractures with osteoporosis in the elderly.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Proximal humeral fractures are common in elderly patients with osteoporosis. Complex three- or four-part fractures often require surgical intervention. Philos locking plates and Multiloc intramedullary nails are widely used, but their comparative effectiveness in osteoporotic elderly patients remains uncertain. Methods: A retrospective study was performed on 90 elderly patients (aged 70-95 years) with Neer three- or four-part proximal humeral fractures treated between January 2021 and December 2023. Patients received either Philos plate fixation ( Results: Both groups achieved fracture healing and functional improvement. Compared to the Philos group, the Multiloc group had shorter incisions, less blood loss, and shorter operative time (all Discussion: Both techniques are effective, but Multiloc intramedullary nail fixation offers superior early outcomes and fewer complications. It may be preferable for elderly patients with osteoporotic proximal humeral fractures when proper surgical technique is ensured.
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