Evaluation of the Outcome of Proximal Humerus Fracture Managed By Internal Locking Plate- A Prospective Study

Jose, Toney; T, Ajith Vincent; Paul, Anil George

doi:10.9790/0853-1605113643

Cited by 1 publication

(1 citation statement)

References 21 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this present study most of the patients presented with right fracture (60%). 16 Similar fracture pattern was reported in a study by Gracitelli et al 17 In this study 2-part fractures were noted in most of the cases (48%) followed by 3-part (42%) and 4-part (10%). Similar to the study conducted by Gracitelli et al 17 Majority of patients had union at 12 weeks about 92% and about 4% had union at 14 weeks and 4% had nonunion and fracture united with an average of 12.08 weeks which is similar to the study of Egol et al 18 In this present study patients were evaluated also using CM and DASH scoring in which mean constant score was found to be 77.62 with 78% of patients having excellent and good outcome and mean DASH score was 20.21 In this present study 4 complications were observed in 27 patients that is 8% of patients had avascular necrosis of head of humerus, 4% of patients had sub acromial impingement and 4% had nonunion similar results were shown by Moonat et al 19…”

Section: Discussionsupporting

confidence: 87%

Study of surgical management of fracture of proximal humerus by PHILOS plate and screws

et al. 2020

View full text Add to dashboard Cite

Background: Proximal humerus fracture accounts for about 5% of all fractures in recent advances proximal humerus fractures are often managed operatively with PHILOS plate which provides greater angular stability and study was aimed at to assess functional outcome of PHILOS plate fixation in proximal humerus fractures.Methods: Prospective study of 31 cases of proximal humerus fractures admitted and operated in Kempegowda Institute of Medical Sciences Hospital November 2017 to May 2019 of which 4 patients died due to medical comorbidities so 27 patients were studied. Follow-up of these patients was done at 6 weeks, 12 weeks and 24 weeks with functional evaluation was done using Constant and Murley (CM) scoring and disabilities of the arm, shoulder and hand (DASH) scoring.Results: CM scoring and DASH scoring was applied to analyze the functional outcome among the cases. Most of the patients had excellent outcome (52%) followed by good (26%), fair (8%) and poor (15%) outcome according to CM scoring and according to DASH scoring 20.21 was mean score and mean CM score was 77.62. Complications observed were impingement in 1 patient, avascular necrosis in 2 patient and non union in 1 case.Conclusions: We conclude that the use of PHILOS plate for the fixation of proximal humerus fractures is a good device as it provides rigid fixation and early mobilisation and prevented complications. Precontoured locking plates work on the principle of angular stability, divergent screws, less disruption of vascularity and less chances of plate failure.

show abstract