Abstract: Background: Proximal humerus fractures are one of the most common fractures occurring in upperlimbs and the third most common fractures in elderly population after hip and distal radius fractures. Previously, most of the proximal humeral fractures have been treated by non-operative methods and most are resulting in good functional outcomes. But fractures with significant displacement, especially in comminuted fractures there were poor functional outcomes. So, today’s era is moving to surgical fixation for better results. However, best method of treating displaced proximal humerus fractures is still debatable where fixation with the philos plate is near ideal good technique. Aim of this study is to evaluate the outcomes after Philos plating.
Materials and Methods: The present study was a prospective study carried out from July 2016 to October 2018, on 25 cases satisfying the inclusion criteria following complete assessment. Patients were assessed for functional and radiological outcome following Philos plating.
Result: Evaluated with Constant and Murley score, Head shaft angle, Height of tuberosity to humeral head and implant position. In study, 3 (12%) of 25 patients had excellent results, 11 (44%) had good results and 10(40%) had fair results and 1(4%) had poor result out of 25.
Conclusion: PHILOS appears to be a better mode of treatment for displaced proximal humerus fracture (type 2, 3, 4 according to Neer’s classification) where stable internal fixation, early mobilization and accurate anatomical restoration of the articular surface and tuberosities are crucial for the better functional outcome.
