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International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2016, Volume 2 Issue 4

Proximal humerus locking plate fixation for proximal humerus fractures

Author(s): Dr. Niravkumar Moradiya, Dr. Kalpesh Patel and Dr. Parth Gawatre
Abstract: Objective: To evaluate functional outcome and complications of open reduction and internal fixation with proximal humeral internal locking system (PHILOS) plate for proximal Humerus fractures.
Methods: We reviewed 20 patients who underwent open reduction and internal fixation with PHILOS plate from June 2012 to June 2013. There were 16 men and 4 women with a mean age of 45.01 years (range 41-50). There were 9 patients in the age group of <40 years and 11 patients in the age group of >40 years. According to Neer classification system, 7, 12 and 1 patients had 2-part, 3-part, and 4-part fractures, respectively. All surgeries were carried out at tertiary care Hospital. Functional evaluation of the shoulder at final follow-up was done using Constant score.
Results: The mean follow-up period was 18 months (range 12-36 months). Three patients were lost to follow-up. Of the remaining 20 patients, all fractures were united clinically and radiologically. The mean time for radiological union was 90 days {12 weeks (range 8-20 weeks)}. At the final follow-up the mean Constant score was 67.25 (range 50-100). The results were excellent in 7 patients, good in 7 patients, fair in 5 patients and poor in 1 patient. During the follow-up, one case of varus malunion, four cases of stiffness and five cases of abductor weakness were noted. No cases of avascular necrosis, hardware failure, locking screw loosening or non-union, failure of fixation were noted.
Conclusion: PHILOS provides stable fixation in proximal Humerus fractures. To prevent potential complications like avascular necrosis, meticulous surgical dissection to preserve vascularity of humeral head is necessary.
Pages: 362-367  |  862 Views  27 Downloads
How to cite this article:
Dr. Niravkumar Moradiya, Dr. Kalpesh Patel, Dr. Parth Gawatre. Proximal humerus locking plate fixation for proximal humerus fractures. Int J Orthop Sci 2016;2(4):362-367. DOI: 10.22271/ortho.2016.v2.i4f.56
International Journal of Orthopaedics Sciences