scholarly journals Study of operative management of proximal humerus fracture treated with locking plates

2016 ◽  
Vol 2 (4) ◽  
pp. 318
Author(s):  
Bhavik Y. Dalal ◽  
Dipalkumar V. Rathod ◽  
Raghav Suthar ◽  
Harshal Damor
Keyword(s):  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Operative Management ◽  
Humerus Fracture ◽  
Shaft Angle ◽  
Philos Plate ◽  
Type 3 ◽  
Radiological Union ◽  
Head Shaft Angle ◽  
Shoulder Score

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">This study was undertaken to evaluate the efficacy of Philos plate and to specifically study the clinical outcome of the patient treated with Philos plate for proximal humerus fracture on the radiological head shaft angle basis.</span></p><p class="abstract"><strong>Methods:</strong> 40 cases of proximal humerus fracture fixed by using Philos plate were reviewed.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Average constant shoulder score as Neer type-3 fracture is 83.8% and for type- 4 part fracture is 86%. Average radiological union was seen at 10.2 weeks. There was no major difference in clinical and radiological union. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Good functional outcome with Philos plate irrespective of fracture type was obtained.</span></p>

scholarly journals Fixation of proximal humerus fracture in adult by locking plate: Clinical study

2020 ◽  
Vol 6 (5) ◽  
pp. 325-332
Author(s):  
Dr. Vivek Amritbhai Patel ◽  
◽  
Dr. Vishal A. Pushkarna ◽  
Dr. Dhruvin J. Patel ◽  
◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus Fracture ◽  
Locking Plate ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Humeral Fracture ◽  
Humerus Fracture ◽  
Functional Evaluation ◽  
Locking Plates ◽  
Radiological Union

p>Aim: The present study aimed to examine the functional outcome of the locking plate in theproximal humerus fracture treatment. Material and Methods: The study consists of 20 patientsdiagnosed with NEER’s 2 – part, 3- part, and 4 – part proximal humerus fracture. All the includedpatients were treated with internal locking plates. Based on the functional evaluation by Constant-Murley shoulder score and the assessment of radiological union foundation. Results: Excellentresults were obtained in 45% of the patients, a good result was seen in 25%, 20% of the patientshad fair results and the poor result was seen in 10% of the patients. The mean Constant-Murleyshoulder score that was obtained in the present study was 75.04. Conclusion: It’s concluded thatthere is a satisfactory functional outcome with the fixation of the proximal humerus fracture withlocking plates. While using the plate fixation for fracture the plate position is of the utmostimportance. Due to angular stability, the locking plates are the advantageous implants in case ofproximal humeral fracture.

scholarly journals Functional outcome of displaced proximal humerus fractures managed by proximal humerus interlocking system plate

2017 ◽  
Vol 3 (3) ◽  
pp. 583
Author(s):  
C. D. Deepak ◽  
Mahesh D. V. ◽  
Abdul Ravoof ◽  
Manash Jyoti Baruah
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Road Traffic ◽  
Osteoporotic Fractures ◽  
Humerus Fracture ◽  
Distal Radial Fractures ◽  
Patients Âgés ◽  
Philos Plate ◽  
The Right

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Fractures of the proximal humerus are the second most common upper extremity fracture and the third most common fracture, after hip and distal radial fractures. The fractures can occur at any age, but the incidence rapidly increases with age.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The study was conducted in patients treated for displaced proximal humerus fracture at Adichunchanagiri Institute Of Medical Sciences, BG Nagar from the month of June 2014 to August 2016. Twenty proximal humerus fracture patients were taken into the study; all were fixed with PHILOS plate. Patients’ age ranged from 18 to 75 years with a mean of 42.9</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The sample consisted of twenty patients of proximal humeral fractures. 08 were males and 12 females. The patients’ ages ranged from 18-75 years with a mean age of 42.9 years. The causes of fractures were road traffic accident in 13 patients, fall in 06 patients and electric shock in 1 patient. 11 fractures involved the right side and 09 involved the left. Patients were followed up from 03 weeks to 06 months. Functional outcome was rated as per Constant-Murley Shoulder Score, we got excellent results in 04 cases, satisfactory in 10, unsatisfactory in 05 xi and failure in 01 patient. Mean Constant-Murley score of this study at the end of the final follow-up period was 81.6. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The PHILOS plate is a good implant to use for fractures of the proximal humerus. However, proper placement of the plate and fixation are required to produce satisfactory results. We recommend use of this implant in Neer 2-part, 3-part, 4-part fractures with or without dislocation and osteoporotic fractures.</span></p>

scholarly journals Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate

2020 ◽  
Vol 6 (4) ◽  
pp. 472-477
Author(s):  
Dr. R Neelakrishnan ◽  
Dr. S Saran Prasath ◽  
Dr. V Bharathiselvan ◽  
Dr. PS Balamurgavel ◽  
Dr. K Parasuraman ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Philos Plate

scholarly journals Functional outcome of proximal humerus fracture treated by PHILOS plate

Injury Extra ◽  
2010 ◽  
Vol 41 (12) ◽  
pp. 164
Author(s):  
M. Al-Najjim ◽  
A. Mustafa ◽  
S. Lipscombe ◽  
M. Waseem
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Philos Plate

scholarly journals Core set of unfavorable events of proximal humerus fracture treatment defined by an international Delphi consensus process

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Laurent Audigé ◽  
Stig Brorson ◽  
Holger Durchholz ◽  
Simon Lambert ◽  
Fabrizio Moro ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Operative Management ◽  
Humerus Fracture ◽  
Routine Practice ◽  
Delphi Consensus ◽  
International Consensus ◽  
International Panel ◽  
Core Set

Abstract Background Proximal humerus fracture (PHF) complications, whether following surgery or nonoperative management, require standardization of definitions and documentation for consistent reporting. We aimed to define an international consensus core event set (CES) of clinically-relevant unfavorable events of PHF to be documented in clinical routine practice and research. Methods A Delphi exercise was implemented with an international panel of experienced shoulder trauma surgeons selected by survey invitation of AO Trauma members. An organized list of PHF events after nonoperative or operative management was developed and reviewed by panel members using on-line surveys. The proposed core set was revised regarding event groups along with definitions, specifications and timing of occurrence. Consensus was reached with at least a two-third agreement. Results The PHF consensus panel was composed of 231 clinicians worldwide who responded to at least one of two completed surveys. There was 93% final agreement about three intraoperative local event groups (device, osteochondral, soft tissue). Postoperative or nonoperative event terms and definitions organized into eight groups (device, osteochondral, shoulder instability, fracture-related infection, peripheral neurological, vascular, superficial soft tissue, deep soft tissue) were approved with 96 to 98% agreement. The time period for documentation ranged from 30 days to 24 months after PHF treatment depending on the event group and specification. The resulting consensus was presented on a paper-based PHF CES documentation form. Conclusions International consensus was achieved on a core set of local unfavorable events of PHF to foster standardization of complication reporting in clinical research and register documentation. Trial registration Not applicable.

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