scholarly journals Functional outcome of Type 3 and Type 4 proximal humerus fractures treated with PHILOS plating

2020 ◽  
Vol 6 (2) ◽  
pp. 919-923
Author(s):  
Dr. Sandip R Patil ◽  
Dr. Sapan Vora ◽  
Dr. Dhaval Tailor ◽  
Dr. Chitresh Mehta ◽  
Dr. Swapnil Chitnavis
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures ◽  
Type 3

scholarly journals FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION WITH A LOCKING COMPRESSION PLATE: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (4) ◽  
pp. 3266-3269
Author(s):  
Abhishek Patil
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Constant Score ◽  
Locking Compression Plate ◽  
Proximal Humerus Fractures ◽  
Compression Plate ◽  
Humerus Fractures ◽  
The Mean

Proximal humerus fractures account for about 4% to 5% of all fractures. Following distal forearm fracture, proximal humeral fracture is the second most common upper extremity fracture. Kirschner (K)-Wires, external fixation, tension band wiring, and rush pins, intramedullary nails, ORIF with plates, and shoulder hemiarthroplasty have all been offered as therapeutic options. The purpose of this study was to assess the functional outcome and complication rates following internal fixation of proximal humerus fractures using a locking compression plate. Patients over the age of 18 with closed proximal humerus fractures or open proximal humerus fractures (Gustilo and Anderson type I, Type II) received open reduction and internal fixation with locking compression plate in the current study. The participants in this study were 60 people who had a proximal humerus fracture and were treated with open reduction and a proximal humerus locking compression plate. Patients ranged in age from 20 to 85 years old, with a mean age of 51.14 +/- 17.30 years. The age group 36–55 years (37 percent) was the most prevalent, followed by 56–75 years (30 %). The majority of patients (76.7 %) were men who had been in automobile accidents on the right side (83 %) (63 %). According to the Neer classification, the most prevalent type of fracture was a three-part fracture (53 %). The maximum union time observed in this study was 16 weeks, with a minimum of 10 weeks. The average time to union is 12.52 +/- 1.14 weeks. The mean flexion at the end of six months was 121.660 +/- 19.84. The mean internal rotation was 57.330 +/- 8.48, the mean external rotation was 530 +/- 11.98, and the mean abduction was 1180 +/- 19.36. 75.28 +/- 9.66 [Mean +/- SD] is the Mean Constant score. Pain 14.10, ADL 18.26, range of motion 22.46, and power 20 were the mean scores observed on Constant Score for its various aspects. According to the Constant score, the functional outcome of the 60 patients was as follows: 8 patients had excellent outcomes (13%), 34 patients had good outcomes (56.7%), 16 patients had moderate outcomes (26.7%), and two patients had poor outcomes (26.7%) and (3 %). Internal fixation of proximal humerus fractures with a locking compression plate results in anatomical reduction and secure fixation, resulting in a favorable functional outcome.

scholarly journals Evaluation of functional outcome of proximal humerus fractures managed by open reduction and internal fixation with philos plate

2020 ◽  
Vol 6 (2) ◽  
pp. 403-410
Author(s):  
Dr. Rishi Solanki ◽  
Dr. Sharvin K Sheth ◽  
Dr. RA Solanki ◽  
Dr. Rahil Pankajkumar Shah ◽  
Dr. Vats Ganesh Joshi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures

scholarly journals The use of locking plates in proximal humerus fractures-functional outcome based on age and fracture pattern

2018 ◽  
Vol 4 (2.7) ◽  
pp. 889-892
Author(s):  
Dr. S Makesh Ram ◽  
Dr. M Antony Vimal Raj ◽  
Dr. G Mohan ◽  
Dr. Anand ◽  
Dr. M Rathna Kumar ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Fracture Pattern ◽  
Proximal Humerus Fractures ◽  
Locking Plates ◽  
Humerus Fractures

scholarly journals Use of proximal humerus internal locking system plate in proximal humerus fractures and its relation with the functional outcome

2019 ◽  
Vol 6 (1) ◽  
pp. 90
Author(s):  
Prasanna Kumar G. S. ◽  
Akash V. Mane ◽  
Amit Kumar Yadav ◽  
Abhishek Harsoor ◽  
Jithsen Manna
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Proximal Humerus ◽  
Constant Score ◽  
Tertiary Care ◽  
Care Hospital ◽  
Proximal Humerus Fractures ◽  
Excellent Outcome ◽  
Good Outcome ◽  
Humerus Fractures

<p class="abstract"><strong>Background:</strong> Proximal humerus fractures are the fractures occurs at or proximal to the surgical neck of the humerus, which accounts for 7% of all fractures and 80% of all humeral fractures. Now a days most of these fractures are managed with internal fixation because of better availability of anatomical plates. The aim was to assess the functional outcome and complications of proximal humerus fractures treated with proximal humerus internal locking system (PHILOS).</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 30 patients with two, three, and four parts proximal humerus fractures treated with proximal humerus internal locking sysyem from 2016 to 2018 with 25 to 80 years of age in a tertiary care hospital. Functional outcome is assessed by using constant murley shoulder scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> Functional outcome as per constant score, 10 patients (33%) got excellent outcome, 06 patients (20%) got very good outcome, 07 patients got (23%) good outcome, 05 patients got (17%) fair outcome and 02 patients got (07%) poor outcome. Complications observed were superficial infections, implant failure and axillary nerve neuropraxia.</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation by using PHILOS is the ideal method in treating displaced proximal humerus fractures mainly in two and three part proximal humerus fractures which provides stable fixation and less complications.</p>

Influence of Radiographic Bone Quality on the Type of Proximal Humerus Fracture

2021 ◽  
Vol 23 (2) ◽  
pp. 65-77
Author(s):  
Aleksandra Koczy-Baron ◽  
Bogdan Koczy ◽  
Michał Mielnik ◽  
Tomasz Stołtny ◽  
Kamil Baczyński ◽  
...  
Keyword(s):  
Bone Quality ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Bone Thickness ◽  
X Ray ◽  
Local Bone ◽  
Humerus Fractures ◽  
Type 3 ◽  
The Relationship ◽  
Type Of Fracture

Background. The risk of proximal humerus fractures increases with age and deterioration of bone quality over time, and the treatment of these injuries may be clinically challenging.The aim of this study was to analyse the relationship between local bone quality and the morphology of proximal humerus fractures. Material and methods. We conducted a retrospective study of 187 patients diagnosed with proximal humerus fractures. X-ray images of all patients were analysed, and on this basis, bone quality was assessed, using the Deltoid Tuberosity Index (DTI), average cortical bone thickness (CBTavg) and the Tingart measurement. The type of fracture was classified according to Neer’s and Association for Osteosynthesis (AO) classifications. Moreover, the caput-collum-diaphyseal (CCD) angle was measured and the relationships between valgus or varus fractures and the DTI, CBTAVG and Tingart parameters were investigated in all patients. Results. Using the Neer classification, the most common fracture type was type 3, found in 90 patients (48.1%). A total of 51 patients (27.3%) sustained an AO B1 fracture. Significantly lower mean DTI values were noted in patients with a Neer 4 fracture compared to those with Neer 3 (p = 0.02) and Neer 2 fractures (p = 0.03). Moreover, significantly higher mean DTI (p <0.00) and CBTAVG (p <0.025) values were noted in the group of patients with valgus fractures (CCD> 140º). Conclusions. 1. In the group of patients diagnosed with a four-part fracture according to Neer, bone quality assessed using the Deltoid Tuberosity Index was significantly worse than in two- and three-part fractures. 2. Significantly higher bone quality, assessed on the basis of the DTI and CBTAVG indices, was observed among patients with valgus fractures compared to those with varus fractures.

Delayed ORIF of proximal humerus fractures at a minimum of 3 weeks from injury: a functional outcome study

2013 ◽  
Vol 24 (5) ◽  
pp. 715-721 ◽  
Author(s):  
Yi Lu ◽  
Chunyan Jiang ◽  
Yiming Zhu ◽  
Manyi Wang ◽  
Richard J. Bowles ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Outcome Study ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

scholarly journals PROXIMAL HUMERUS FRACTURES;

2017 ◽  
Vol 24 (12) ◽  
pp. 1788-1793
Author(s):  
Faisal Abdul Jabbar ◽  
Rehana Ali Shah
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Avascular Necrosis ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Case Series ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures ◽  
The Mean

Objectives: The aim of our study is to study the radiological and functionaloutcome of proximal humerus fractures treated via open reduction and internal fixation usingthe proximal humerus internal locking system or PHILOS. Study Design: Case series study.Period 05 years duration from January 2011 to December 2015. Setting: Large tertiary carecentre in Karachi, Pakistan. Materials and methods: The study population consisted of n=50patients all of whom underwent open reduction and internal fixation utilizing the proximalhumeral internal locking system or PHILOS for fractures of the proximal humerus. The inclusioncriterion was all the patients with closed fractures of the proximal humerus and were belongingto 2,3 and 4 part of the Neer system of classification. Physiotherapy was started as soon aspossible for the patients. Serial radiographic imaging in two views was done at 6, 12, 24 and52 weeks postoperatively. For the functional outcome of the procedure Constant and Murleyscoring system was used. Data was analyzed using IBM SPSS version 21. Results: The studypopulation consisted of n= 50 patients of which n= 35 were males and n= 15 were femaleshaving a mean age of 38.50 years. The mean duration of follow up was 24 months. All thepatients in the study had union of fracture both radiographically and clinically, the mean timeduration for the radiographically evident union of the humerus bone was 12 weeks with a rangeof 8 to 20 weeks, the mean Constant Murley score for the functional outcome of the shoulderjoint was 79 at the final follow up with a range of 50 to 100. Complications were found in n= 9patients and varus malunion was the most common complication. In our case series we did notobserve complications such as avascular necrosis, non union or implant failure. Conclusion:According to the results of our study the proximal humerus internal locking system or PHILOSis a good method for open reduction and internal fixation of the proximal humerus fractures andprovides a stable fixation, and has lower incidence of complications such as avascular necrosis.

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