scholarly journals Management of proximal humerus fracture with PHILOS (Proximal Humerus Internal Locking System): A prospective study

2018 ◽  
Vol 4 (1a) ◽  
pp. 15-17
Author(s):  
Dr. Sahil Kohli ◽  
Dr. J Sikdar
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
System A ◽  
A Prospective Study

scholarly journals MANAGEMENT AND OUTCOME ANALYSIS OF PROXIMAL HUMERUS FRACTURES BY PHILOS - A PROSPECTIVE STUDY

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Mukka Naveen ◽  
D. Narsimlu
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
Early Recovery ◽  
Systemic Complications ◽  
Post Surgery ◽  
Humerus Fractures ◽  
A Prospective Study

Introduction: Proximal humerus fracture is considered as one of the commonest fractures in clinical practice. Most of these fractures occur as a result of osteoporosis. Proximal humerus fractures are often nondisplaced or minimally displaced fractures with two parts, which can be managed conservatively. Surgical interventions include closed reduction and percutaneous pinning (CRPP). It also involves trans-osseous suture fixation, Open Reduction Internal Fixation (ORIF) with either conventional or Proximal Humerus Interlocking Osteosynthesis System (PHILOS) or hemiarthroplasty. Good clinical outcomes have been achieved by the PHILOS as they stabilize the proximal humeral fractures with steady fixation in osteoporotic bone and assisted aged patients in early functional exercises which resulted in early recovery.  Aim: To analyse the functional results and complications associated with management of proximal humerus fractures treated with PHILOS. Materials and Methods: This is a prospective study conducted at Department of Orthopaedics, Prathima Institute Of Medical Sciences, Nagunur, Karimnagar, from July 2017 to January 2019.  58 patients were taken into study with two-part, three-part, four-part fracture of the proximal humerus in adults >18 years of age. In all patients PHILOS plating was done and surgical events and surgical difficulties faced, post-surgery local or systemic complications, time needed for fracture union and time taken to return to pre-fracture activity were documented. They were followed up till there were signs of union on radiographs or for at least a period of 1 year. Results: The results were assessed with Constant Murley Score at 6 months post-surgery and Visual Analogue Scale at 6 weekly intervals. The mean Constant score for two-part fractures was 88.1, for Three-part 82.5, for Four-part 72.7. The patients with two-part and three-part fractures had a significantly better VAS than patients with four-part fractures till 18 months of surgery. After 18 months the VAS was similar for all 3 groups. 6.9% developed shoulder stiffness, 2 patients from four-part fracture group developed Varus angulation. Conclusion: we conclude that the PHILOS is safe, effective and provides stable fixation for  proximal humerus fractures and in patients with indigent bone quality.  Keywords:  PHILOS, Proximal Humerus Fracture

scholarly journals A prospective study to analyze the outcome of proximal humerus fracture managed with proximal humerus locking plate

2016 ◽  
Vol 2 (4) ◽  
pp. 215
Author(s):  
Biju R. ◽  
Kumar Babu B.L.S. ◽  
Viswanath Gautham M.
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Locking Plate ◽  
Proximal Humerus ◽  
High Energy ◽  
Humerus Fracture ◽  
Common Mechanism ◽  
Minor Trauma ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

<p><strong>Background:</strong> The incidence of proximal humerus fractures has increased in last few years due to changes in life style and increase in road traffic accidents. Hence, the challenge of the modern day treatment was to get accurate reductions anatomically, fast healing and early restoration of function. Proximal humerus locking plate revolutionized the treatment without compromising fracture union. The present study aimed to evaluate the functional and radiological outcome of proximal humerus fracture managed with proximal humerus locking plate.</p><p><strong>Methods:</strong> This prospective study was conducted at Narayana Medical College Hospital for a period of two years from December 2014 to June 2016. 30 cases of proximal humerus fractures in adults after meeting inclusion criteria were participated and treated surgically with proximal humerus locking plate technique. Consent form was taken from all the patients. The final functional outcome was assessed by radiography and DASH scoring system.</p><p><strong>Results:</strong> Proximal humerus fractures were found to have high incidence in the 40 to 45 age group which had 37% of the study population. Males predominated over females in our study. Ratio of males to female was 2:1. Right sided fractures are more in the present study in both the sexes. The most common mechanism of injury was fall on the outstretched hand from a standing height or less with minor trauma seen in 34% of patients. High energy trauma was more frequently involved in younger patients (30%). According to Neer’s classification two part fractures constituted the most common type 16 (54%) in this study. The collected data was analyzed using SPSS software version 23.0. A ‘p’ value less than 0.05 was considered significant.</p><strong>Conclusions:</strong> The proximal humerus locking plate method for proximal humerus fracture emerges to be safe, effective, reliable fixation with minimal complications.

scholarly journals A prospective comparative study in the management of Neer’s type II and type III proximal humerus fracture with proximal humerus nail versus proximal humerus internal locking system

2017 ◽  
Vol 3 (3) ◽  
pp. 532 ◽  
Author(s):  
Ramesh R. ◽  
Ameen Ahamed
Keyword(s):  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Type Ii ◽  
Excellent Outcome ◽  
Type Iii ◽  
Medical College ◽  
Good Outcome ◽  
Prospective Comparative Study ◽  
A Prospective Study

<p><strong>Background:</strong> Proximal humerus fractures account for approximately 4-5 % of all the fractures and are next in occurrence to hip fractures and distal radius fractures in elderly population.</p><p><strong>Methods:</strong> A prospective study of 40 patients with Neer’s type II and type III proximal humerus fracture, among which 20 were treated with proximal humerus nail and 20 with proximal humerus internal locking system at two Hospitals attached to J.J.M Medical College Davangere, Karnataka, India between September 2015 to December 2016. At final follow up results were assessed with constant shoulder scoring system.</p><p><strong>Results:</strong> In the PHN group, 8 patients (40%) showed excellent outcome, 8 patients (40%) showed good outcome and 4 patients (20%) showed fair outcome. Among the PHILOS group, 12 patients (60%) showed good outcome, 6 patients (30%) showed fair outcome and 02 patients (10%) with poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> Proximal humerus nail for Neer’s type II and type III proximal humerus fracture has better results compared to proximal humerus locking plate system with increased range of movements and restoring better shoulder biomechanics.</p>

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