scholarly journals PHILOS Plate as a Fixation of Proximal Humeral Fracture: A Revisit

2019 ◽  
pp. 39
Author(s):  
Mohd Shaffid Md Shariff ◽  
Hanizah Ngadiron ◽  
Firdaus Hayati ◽  
Nornazirah Azizan ◽  
Affirul Chairil Ariffin
Keyword(s):  
Proximal Humeral Fracture ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Surgical Intervention ◽  
Motor Vehicle ◽  
Humeral Fracture ◽  
The Elderly ◽  
Sport Injuries ◽  
Vehicle Accidents ◽  
Philos Plate

Fracture is common after trauma. Proximal humeral fracture can occur in the elderly after fall and in youngsters after motor vehicle accidents (MVA) and sport injuries. A 37-year-old man was admitted with a fracture of his left proximal humerus following an MVA. He sustained a 3-part fracture and treated surgically using a PHILOS plate. There are few options in managing proximal humerus fracture ranging from conservative to surgical intervention based on its severity. We reminiscent the usage of PHILOS plate as a mode of treatment of such fracture. 

scholarly journals Treatment of Proximal Humeral Fracture Using Polarus Nail and Philos Plate

2014 ◽  
Vol 17 (3) ◽  
pp. 120-126
Author(s):  
Chang Hyuk Choi ◽  
Jung Hyun Sim ◽  
Sang Hwa Lee ◽  
Joo Hwan Lee ◽  
Jun Ho Nam
Keyword(s):  
Functional Recovery ◽  
Proximal Humeral Fracture ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humeral Fracture ◽  
Humerus Fracture ◽  
Philos Plate ◽  
One Year ◽  
The One

BACKGROUND: To compare the treatment of the proximal humerus fracture using a Polarus nail or Philos plate, we aimed to analyze the functional recovery and the factors affecting the selection between the two types of surgery.METHODS: The study included 107 patients with proximal humerus fracture who underwent surgery at our institution. Of these patients, 67 underwent surgery with Polarus nails (G1) and 40 with Philos plates (G2). In G1, the cases of two- and three-part fractures were 60 and 7 cases, in G2, the cases of two-, three-, and four-part fractures were 28, 10, and 2 cases, respectively. The average age was 61 years old, and the average follow-up period was 32.5 months. We compared radiological results, the functional recovery retrospectively.RESULTS: The radiological union time was 6.8 weeks and 8.7 weeks on average in G1 and G2 (p < 0.05). At the one-year follow-up period, these were visual analogue scale (VAS) 1.355, forward flexion (FF) 130.968, external rotation (ER) 50.161, internal rotation (IR) L2 in G1, and VAS 0.781, FF 135.806 ER 51.25, IR L1 in G2, respectively, showing no significant differences between the two groups (p > 0.05). Similar observations were made at the final follow-up. In terms of functional recovery, no significant differences were seen at the one-year or at the final follow-up period (p > 0.05).CONCLUSIONS: For the surgical treatment of proximal humeral fracture, the selection of the type of surgery is affected by the fracture pattern. However, both methods give satisfactory outcomes and do not show significant differences in the functional outcome after the surgery.

Axillary Artery Pseudoaneurysm following Severely Displaced Proximal Humerus Fracture: Delayed Presentation and Management

2010 ◽  
Vol 2 (2) ◽  
pp. 100-102
Author(s):  
Thomas Kurien ◽  
Amol Tambe ◽  
David I. Clark
Keyword(s):  
Proximal Humeral Fracture ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Humeral Fracture ◽  
Delayed Presentation ◽  
Artery Pseudoaneurysm ◽  
Novel Approach ◽  
Life Threatening ◽  
Life Threatening Complication

Delayed presentation of axillary artery injuries after displaced proximal humeral fractures are rare. We present a report on an 88 year old female who developed a pseudoanersym of the axillary artery 3 weeks after a proximal humeral fracture and a novel approach to the management of this potentially limb and life threatening complication.

Reverse shoulder arthroplasty for proximal humeral fracture in the elderly. Cemented or uncemented stem?

2022 ◽  
Author(s):  
Yaiza Lopiz ◽  
Carlos García-Fernandez ◽  
María Vallejo-Carrasco ◽  
Daniel Garriguez-Pérez ◽  
Loreto Achaerandio ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Proximal Humeral Fracture ◽  
Reverse Shoulder Arthroplasty ◽  
Humeral Fracture ◽  
The Elderly

Analysis of injury mechanism of the elderly and non-elderly groups in minor motor vehicle accidents

2018 ◽  
Vol 19 (sup2) ◽  
pp. S151-S153 ◽  
Author(s):  
Joon Seok Kong ◽  
Oh Hyun Kim ◽  
Hyun Youk ◽  
Hee Young Lee ◽  
Chan Young Kang ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
The Elderly ◽  
Motor Vehicle Accidents ◽  
Injury Mechanism ◽  
Vehicle Accidents

scholarly journals Locking Plate for Proximal Humeral Fracture in the Elderly Population: Serial Change of Neck Shaft Angle

2012 ◽  
Vol 4 (3) ◽  
pp. 209 ◽  
Author(s):  
Aditya C Pawaskar ◽  
Kee-Won Lee ◽  
Jong-Min Kim ◽  
Jin-Woong Park ◽  
Iman W Aminata ◽  
...  
Keyword(s):  
Proximal Humeral Fracture ◽  
Elderly Population ◽  
Locking Plate ◽  
Humeral Fracture ◽  
The Elderly ◽  
Neck Shaft Angle ◽  
Shaft Angle ◽  
Serial Change

scholarly journals Surgical treatment of disloced fracture of the scapula column and glenoid: A 22-year follow-up

2015 ◽  
Vol 72 (2) ◽  
pp. 181-184 ◽  
Author(s):  
Desimir Mladenovic ◽  
Marko Mladenovic ◽  
Predrag Stojiljkovic ◽  
Ivan Micic ◽  
Sasa Karalejic
Keyword(s):  
Surgical Treatment ◽  
Motor Vehicle ◽  
Clavicle Fracture ◽  
Humeral Fracture ◽  
Lateral Part ◽  
Scapular Fracture ◽  
Vehicle Accidents ◽  
Scapular Fractures ◽  
Intraarticular Fractures ◽  
Fall From Height

Introduction. Most scapular fractures are caused by highimpact blunt injuries, often as the result of motor vehicle accidents, fall from height, etc. In 80% to 90% of cases, scapula fractures are associated with multiple injuries (clavicle fracture, rib fractures, humeral fracture, pulmonary injury, brachial plexus injury). Case report. We presented scapular fracture in a 27-years-old male who had sustained a workrelated injury when a ground soil brick machine pressed him. Fracture line was identified on radiotherapy and computed tomography scan from the distal scapular angle enclosing scapular neck. The whole lateral part of the scapula was dislocated laterally from the scapular body. Scapular fracture was treated operatively. The posterior approach was used for reposition, while for fixation after reposition we used two Blunt clamps. We presented functional outcome 22 years after the injury and the surgical treatment. The patient can perform all physical activities, still works, and there is no need to remove the ostheosynthetic material as it causes no discomfort nor problems. The strength of the shoulder muscles is estimated as physician as the grade 5. Conclusion. Displaced intraarticular fractures of the scapula should be treated operatively, with open reduction and internal fixation.

scholarly journals Proximal Humerus Fractures in the Elderly: Concomitant Fractures and Management

2020 ◽  
Vol 13 (1) ◽  
pp. 101-105
Author(s):  
Kelly Zachariasen ◽  
Bradley Dart ◽  
Elizabeth Ablah ◽  
Kelly Lightwine ◽  
James Haan
Keyword(s):  
Injury Severity ◽  
Proximal Humerus ◽  
Motor Vehicle ◽  
The Elderly ◽  
Proximal Humerus Fractures ◽  
Provider Type ◽  
Concomitant Injuries ◽  
Discharge Disposition ◽  
Vehicle Collision ◽  
Humerus Fractures

Introduction. The purpose of this study was to identify additional injuries commonly seen with proximal humerus fractures experienced by patients 65 years or older and to evaluate discrepancies in the management of these patients with regard to provider type. Methods. A retrospective review was conducted of all patients 65 years or older who sustained a proximal humerus fracture. Patient data collected included demographics, injury details, hospital course, and discharge destination. Results. Patients with a concomitant fracture (45.5%, n = 65) had a slightly higher Injury Severity Score (ISS; 8.3 ± 3.0 vs. 6.4 ± 3.0, p < 0.001) and experienced one additional death than those with an isolated fracture (54.5%, n = 78). Slightly more patients were managed by a trauma provider (51.7%, n = 74) than by a non-trauma provider (48.3%, n = 69). Those managed by a trauma provider sustained the most pelvic fractures (12.2% vs. 2.9%, p = 0.038), were more likely to be injured in a motor vehicle collision (8.1% vs. 0%, p = 0.005), had a higher ISS (8.0 ± 3.3 vs. 6.4 ± 2.8, p = 0.003), and had more imaging performed than those treated by a non-trauma provider. There was, however, no difference in operative rates, concomitant injuries, length of stay or discharge disposition regarding provider type.  Conclusions. It is important to recognize proximal humerus fractures as a sign of fragility and to optimize hospital management of these patients.

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.

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