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>

scholarly journals Minimally invasive percutaneous plate osteosynthesis for the treatment of proximal humerus fractures in osteoporotic patients with Philos plate

2013 ◽  
Vol 12 (2) ◽  
pp. 140-145
Author(s):  
Ram Ji Lal Sahu
Keyword(s):  
Minimally Invasive ◽  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Medical Science ◽  
Functional Results ◽  
Autogenous Bone ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures ◽  
A Prospective Study

Introduction: To investigate the effect of minimally invasive percutaneous plate osteosynthesis for treatment of proximal humerus fractures in osteoporotic patients with philos plate. Methods: A prospective study was conducted at Department of Orthopedics, M.M.Medical College, Mullana Ambala, from July 2005 to November 2010. A Total of 108 cases of proximal humerus fractures were treated with minimally invasive percutaneous plate osteosynthesis with philos plate. According to Neer classification, 89 cases had two part fractures, 19 had tree part fractures. Results: All the 108 cases were followed up ranging from 12 to 18 months with an average of 14 months. Radio graphically, union was observed in 92 patients at the end of 10 weeks. In 10 patients, times to union were 16 weeks. Six patients underwent autogenous bone grafting because of nonunion after 16 weeks. The mean Constant-Murley score was 86 (range 74-92). The functional results of the shoulder, according to Muley scores, were classified as excellent in 85.15% cases, good in 9.25% cases and fair in 5.55 cases. Conclusion: Minimally invasive percutaneous plate osteosynthesis for treatment of proximal humerus fractures in osteoporotic patients with philos plate shows good results and less complication. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 140-145 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14941

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

2020 ◽  
Vol 6 (3) ◽  
pp. 462
Author(s):  
Channappa T. Seetharam ◽  
Manju Jayaram ◽  
Shivakumar H. Bachhappa ◽  
Yatish Ramalingaiah ◽  
Syed Abdul Hadi
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Angular Stability ◽  
Rigid Fixation ◽  
Functional Evaluation ◽  
Proximal Humerus Fractures ◽  
Excellent Outcome ◽  
Philos Plate ◽  
Humerus Fractures

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals A Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring of Neer’s 2-Part and 3-Part Proximal Humerus Fractures

2020 ◽  
Vol 7 (40) ◽  
pp. 2247-2250
Author(s):  
Mahesh Gangaiah ◽  
Monesh Kanakappa Basavaraj ◽  
Balaraj Gowda Hanumantappa ◽  
Girish Halasinanagenahalli Rudrappa ◽  
Balakrishnan Honnapura Doppapettigama ◽  
...  
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Plate Versus ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures

Outcomes of Arthroscopic Hardware Removal Following Locked Plating of Proximal Humerus Fractures: A Prospective Study

2015 ◽  
Vol 24 (8) ◽  
pp. e230
Author(s):  
Joshua S. Dines ◽  
Matthew R. Garner ◽  
Asheesh Bedi ◽  
Kristofer Jones ◽  
Dean G. Lorich ◽  
...  
Keyword(s):  
Prospective Study ◽  
Proximal Humerus ◽  
Hardware Removal ◽  
Proximal Humerus Fractures ◽  
Locked Plating ◽  
Humerus Fractures ◽  
A Prospective Study

scholarly journals Review of philos plate fixation in proximal humerus fractures

Injury Extra ◽  
2012 ◽  
Vol 43 (10) ◽  
pp. 96
Author(s):  
A.C. King ◽  
F. Brooks ◽  
R. Williams
Keyword(s):  
Proximal Humerus ◽  
Plate Fixation ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
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>

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