Functional outcome of Philos plate fixation in proximal humerus fractures

Abstract

Background: Conservative treatment for Proximal humeral fractures were common in the past and often had compromised functional results. With the advancement of surgical techniques, proximal humerus fractures are now more often managed operatively for early rehabilitation and better functional outcome. The aim of this study was to assess the functional outcome of PHILOS plate fixation in proximal humerus fractures. Materials and Methods: A prospective, non-controlled, non-randomized study was conducted on patient admitted in our institution between July 2016 and August 2017 with displaced proximal humeral fractures with mean age of 50 years (range 24-75years). 15 patients were selected for the study. The outcome was assessed based on Constant-Murley score. Results: Results were analysed according to Constant-Murley score. Excellent results were achieved in 3 (20%), good results in 7 (46.66%), fair results in 3 (20%) and poor result in 2 (13.33%) of the cases. Avascular necrosis (AVN) and non-union was observed in one patient. Conclusion: PHILOS plate fixation for proximal humeral fracture is a good stable fixation with a good functional outcome especially in osteopenic elderly patients

Effectiveness and Short Term Functional Results of Surgical Treatment with Locking Plate in Proximal Humerus Fractures

“…Similar observations were reported by Koukakis et al (11) , Rose et al (20) , Siwach et al (15) and Frankhauser et al (12) . On the other hand, the most common fracture type was reported as Type 2 by Singh et al (19) .…”

“…Various results have been reported for the incidence of proximal humerus fractures in women and men. In a study by Singh et al (19) reporting the results of the fixation of proximal humerus fractures with locking plate, 60% of the patients were female and 40% were male (19) . In our study, this rate was 50% in both sexes.…”