Functional results of displaced proximal humerus fractures in children treated by elastic stable intramedullary nail

2013 ◽  
Vol 24 (2) ◽  
pp. 165-172 ◽  
Author(s):  
A. Khan ◽  
L. Athlani ◽  
M. Rousset ◽  
A. Samba ◽  
F. Canavese
Keyword(s):  
Intramedullary Nail ◽  
Proximal Humerus ◽  
Functional Results ◽  
Proximal Humerus Fractures ◽  
Elastic Stable Intramedullary Nail ◽  
Fractures In Children ◽  
Humerus Fractures

scholarly journals Treatment of Two-Part Proximal Humerus Fractures: Intramedullary Nail Compared to Locked Plating

2012 ◽  
Vol 8 (2) ◽  
pp. 86-91 ◽  
Author(s):  
Nikola Lekic ◽  
Nicole M. Montero ◽  
Richelle C. Takemoto ◽  
Roy I. Davidovitch ◽  
Kenneth A. Egol
Keyword(s):  
Intramedullary Nail ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Locked Plating ◽  
Humerus Fractures

Surgical treatment of displaced proximal humerus fractures with a short intramedullary nail

2011 ◽  
Vol 20 (8) ◽  
pp. 1241-1247 ◽  
Author(s):  
Betsy M. Nolan ◽  
Matthew A. Kippe ◽  
J. Michael Wiater ◽  
Gregory P. Nowinski
Keyword(s):  
Surgical Treatment ◽  
Intramedullary Nail ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

scholarly journals A prospective study to evaluate functional results of PHILOS locking plate system in management of proximal humerus fractures in adults

2021 ◽  
Author(s):  
Satish R. Gawali ◽  
Venktesh D. Sonkawade ◽  
Pradeepkumar S. Nair ◽  
Gaurav B. Mate
Keyword(s):  
Locking Plate ◽  
Proximal Humerus ◽  
Functional Results ◽  
Functional Evaluation ◽  
Complication Rates ◽  
Proximal Humerus Fractures ◽  
Female Ratio ◽  
Humerus Fractures ◽  
Locking Plate System ◽  
Plate System

<p class="abstract"><strong>Background:</strong> Various management options are available for management of proximal humerus fractures where PHILOS plating is one of them. But data available in literature on its use and efficacy in management of all types of proximal humerus fractures is still dicey. So, we through our study attempted to grow our knowledge regarding its functional results, complication rates, etc. for use in coming future.</p><p class="abstract"><strong>Methods:</strong> 30 patients with proximal humerus fractures classified on the basis of Neer’s classification were included in study who were operated from 2018 to 2020 at our institute. These patients were operated by PHILOS locking plate system with either delto-pectoral or trans-deltoid approach and they are followed up at regular intervals to assess them clinicoradiologicallly and functionally by Neer’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study we found maximum incidence of these fracture between age group of 40-80 years (66.66%) with male to female ratio of 2:1 with 19 patients having left sided and 11 patients having right sided proximal humerus fracture. Complications were found in 11 patients (36.67%). Functional evaluation was carried out using Neer’s criteria at final follow up which came to excellent results in 3, satisfactory in 18, unsatisfactory in 7 and failure in 2 patients. Average time of fracture union was 12.62 weeks.</p><p class="abstract"><strong>Conclusions:</strong> PHILOS locking plate system serves good purpose in management of fractures of proximal humerus but requires trained faculty to do this operation who has detailed knowledge about shoulder anatomy and mechanism of injury to reduce complications associated with this type of modality.</p>

scholarly journals Proximal humerus fractures in children and adolescents

2014 ◽  
Vol 100 (1) ◽  
pp. S149-S156 ◽  
Author(s):  
Y. Lefèvre ◽  
P. Journeau ◽  
A. Angelliaume ◽  
A. Bouty ◽  
E. Dobremez
Keyword(s):  
Children And Adolescents ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Fractures In Children ◽  
Humerus Fractures

Analysis of Functional Outcomes in Inner Osteosynthesis for Proximal Humerus Fractures

2003 ◽  
Vol 10 (3) ◽  
pp. 62-66
Author(s):  
E Sh Lomtatidze ◽  
V E Lomtatidze ◽  
S V Potseluyko ◽  
E A Toropov ◽  
E Sh Lomtatidze ◽  
...  
Keyword(s):  
Shoulder Joint ◽  
Functional Outcomes ◽  
Proximal Humerus ◽  
Functional Results ◽  
Proximal Humerus Fractures ◽  
Muscular Force ◽  
Limb Function ◽  
Younger Patients ◽  
Humerus Fractures ◽  
With Screws

Between 1998 and 2002, 32 patients (11 males, 21 females), aged 26-78 years, with proximal humerus fractures were operated on. In 29 cases osseous osteosynthesis by AO technique with T- and L-shape plates and screws was performed, in 2 cases osteosynthesis was carried out using Kirshner wire and in 1 case with screws and wire. In all patients functional results were evaluated by American Shoulder and Elbow Surgeons system in terms from 7 to 48 months after operation. The following parameters were included: pain, movement range, muscular force, stability/instability of shoulder joint, limb function. In patients over 60 years movement range and limb function were reliably decreased compared to younger patients (p

scholarly journals Age- and severity-adjusted treatment of proximal humerus fractures in children and adolescents—A systematical review and meta-analysis

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0183157 ◽  
Author(s):  
Lisa Hohloch ◽  
Helge Eberbach ◽  
Ferdinand C. Wagner ◽  
Peter C. Strohm ◽  
Kilian Reising ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Proximal Humerus ◽  
Meta Analysis ◽  
Proximal Humerus Fractures ◽  
Fractures In Children ◽  
Humerus Fractures ◽  
Systematical Review

scholarly journals Functional outcome of proximal humerus fracture treated with proximal humerus interlocking system plating

2019 ◽  
Vol 5 (5) ◽  
pp. 936
Author(s):  
Hemeshwar Harshwardhan ◽  
Buddhi Prakash Verma
Keyword(s):  
Proximal Humerus ◽  
Functional Results ◽  
Bony Union ◽  
Proximal Humerus Fractures ◽  
Excellent Outcome ◽  
Medical College ◽  
Satisfactory Outcome ◽  
Philos Plate ◽  
Humerus Fractures ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Proximal humerus fractures account for 4-5% of all fractures. They are the commonest fractures in elderly population, which ranks the third, after hip and distal radius fractures respectively. Displaced fractures treated by pinning, cancellous screws, intra-medullary nails, proximal humeral plates and hemiarthroplasty. The proximal humerus interlocking system (PHILOS) plate is anatomically contoured and the threaded screw heads are locked into the threaded plate holes which allow early rehabilitation. The aim of this study is to evaluate results and complication of PHILOS.</p><p class="abstract"><strong>Methods:</strong> This a prospective study, conducted at JLN Medical College, Ajmer from 1st January 2017 to 31st July 2018. 36 patients of displaced proximal humerus fractures were included and operated at hospital with PHILOS plating. We evaluate Intra-operative events, post-operative radiological evaluations and bony union by NEER’S score and complications.<strong></strong></p><p class="abstract"><strong>Results:</strong> Functional results according to NEER’S score were found that out of 36 patients, 11 patients (30.5%) had excellent outcome, 19 patients (52.7%) have satisfactory outcome, 3 patients (8.33%) had unsatisfactory outcome and 3 patients (8.33%) had poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> Internal fixation of proximal humerus fractures with use of PHILOS yields reliable results when utilized correctly. To achieve gold standard results, early physiotherapy is must which can only be done by stable fixation, ORIF with PHILOS provides more stable construct with anatomical reduction.</p>

Proximal humerus fractures in children and adolescents

2021 ◽  
Vol 72 (1) ◽  
Author(s):  
Federico CANAVESE ◽  
Flavia ALBERGHINA ◽  
Alain DIMEGLIO ◽  
Antonio ANDREACCHIO
Keyword(s):  
Children And Adolescents ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Fractures In Children ◽  
Humerus Fractures

Proximal Humerus Fractures in Children: Experience from a Central London Paediatric Orthopaedic Service

2019 ◽  
Vol 13 (1) ◽  
pp. 202-207
Author(s):  
Woojin Chae ◽  
Akib Khan ◽  
Sarah Abbott ◽  
Angelos Assiotis
Keyword(s):  
Proximal Humerus ◽  
Limb Length Discrepancy ◽  
Operative Management ◽  
Proximal Humerus Fractures ◽  
Tertiary Referral Centre ◽  
Correct Treatment ◽  
Treatment Methods ◽  
Fractures In Children ◽  
Humerus Fractures ◽  
The Mean

Objective: Proximal humeral fractures are commonly observed in children who sustain falls whilst running, or from heights. Appropriate and correct treatment is key in order to avoid limb length discrepancy and functional deficiencies. Current treatment methods include non-operative management such as collar and cuff immobilisation, and operative methods such as elastic stable intramedullary nails or Kirschner wires. This paper aims to present the demographics of this patient population and our experience in managing patients with proximal humerus fractures in an urban tertiary referral centre. Method: We assessed 41 cases across two sites in central London, identified via hospital electronic notes and our radiology digital system. We analysed patient demographics, mechanism of injury, time to discharge from orthopaedic services taking into account radiological and clinical union, and the treatment methods utilised. Results: The mean age of the cohort was 8.6 years old. 70% of the injuries were due to falls and 85% of cases were treated without an operation. The mean time to discharge from our service following radiological and clinical union was 46 days (9 – 161 days). Mean radiological and clinical union were 21.8 and 36.2 days respectively. Conclusion: These results support a non-operative approach, especially in cases with patients under 10 years of age. Surgery should only be undertaken in patients who have severe displacement and who have failed attempts at closed reduction. We would advocate a similar approach in institutions dealing with a comparable population of patients, as long as there are provisions for referral of more complex cases that require surgical stabilisation.

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