scholarly journals PHILOS plate fixation with polymethyl methacrylate cement augmentation of an osteoporotic proximal humerus fracture

2020 ◽  
Vol 23 (3) ◽  
pp. 156-158
Author(s):  
Do-Young Kim ◽  
Tae-Yeong Kim ◽  
Jung-Taek Hwang

PHILOS plate fixation in osteoporotic proximal humerus fracture of old age is well-known for high complication rate, especially metal failure, providing various augmentation techniques, such as calcium phosphate cement, allogenous or autologous bone graft. We report a case of PMMA augmentation to provide appropriate reduction with a significant mechanical support. This can be a treatment option for displaced unstable osteoporotic proximal humerus fracture with marked bony defect.

Author(s):  
Dr. Vivek Amritbhai Patel ◽  
◽  
Dr. Vishal A. Pushkarna ◽  
Dr. Dhruvin J. Patel ◽  
◽  
...  

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.


Author(s):  
C. D. Deepak ◽  
Mahesh D. V. ◽  
Abdul Ravoof ◽  
Manash Jyoti Baruah

<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>


Author(s):  
Bhavik Y. Dalal ◽  
Dipalkumar V. Rathod ◽  
Raghav Suthar ◽  
Harshal Damor

<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>


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 ◽  
...  

Injury Extra ◽  
2010 ◽  
Vol 41 (12) ◽  
pp. 164
Author(s):  
M. Al-Najjim ◽  
A. Mustafa ◽  
S. Lipscombe ◽  
M. Waseem

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