Minimal Invasive Percutaneous Osteosynthesis for Elderly XXXX with the PHILOS.

@entity1 @entity174 @entity16 @entity6342 @entity281 @entity204 @entity11942
There is a growing concern about elderly @entity6342 . The aim of this study was to evaluate the treatment and clinical outcomes following minimal invasive percutaneous plate osteosynthesis (MIPPO) with the proximal humeral internal locking system (PHILOS) for the treatment of elderly valgus impacted @entity6342 . Between May 2008 and May 2012, 27 @entity1 (average age 67.3, range 61-74) with @entity6342 were enrolled in the study. The @entity1 were treated with MIPPO using PHILOS-plate through the anterolateral delta-splitting approach. Rehabilitation exercises were done gradually. The NEER score and Constant-Murley score were used to evaluate shoulder function. All the @entity1 were followed up by routine radiological imaging and clinical examination. There were 15 cases of II-part greater tuberosity @entity174 , 10 cases of III-part greater tuberosity @entity174 , and 2 cases of IV-part @entity174 according to the NEER classification. The surgery was successful in all @entity1 with an average follow-up of 20.8 (range: 11-34) months. The @entity174 united in an average of 7.2 (6-14) weeks without implant loosening. According to NEER score, there were 17 excellent, 7 satisfactory, 2 unsatisfactory, and 1 poor. The mean Constant-Murley score was 89.4    4.35. No complication including @entity16 , @entity281 , @entity11942 , or @entity204 was observed. In conclusion, the MIPPO technique with the PHILOS through the anterolateral delta-splitting approach seems to be a safe and easy treatment for elderly @entity6342 . A case-control study and longer follow-up time are needed.
