International Journal of Orthopaedics Sciences

Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate

2020, Volume 6 Issue 4

Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate

Author(s): Dr. R Neelakrishnan, Dr. S Saran Prasath, Dr. V Bharathiselvan, Dr. PS Balamurgavel, Dr. K Parasuraman and Dr. R Ravikrishna
Abstract: Aim and Objective: Fracture of the proximal humerus, part 2, 3 and 4 have been a challenge to achieve stable fixation .The goal is to achieve near anatomical reduction, preserve biology, stabilization and achieve early mobilization. PHILOS plate provide rigid fixation, more angular stability and good union rate. In this study we have assessed the functional outcome of patients who have undergone PHILOS plating for proximal humerus fracture vs the patient treated conservatively.
Material and method: Study was conducted in department of orthopaedics, Rajah Muthiah Medical College and Hospital. Total of 20 patient with fracture of proximal humerus was observed with 10 patient treated using PHILOS plate and 10 patient treated conservatively. Open reduction and internal fixation was performed in 10 patients and in 10 patient u-slab was applied. Result were assessed by constant and murley shoulder outcome score
Result: The average follow up time was 6 months. Results were analysed in respect to union of fracture, range of motion of shoulder joint. The mean union time was 8 weeks.
Conclusion: PHILOS plating is effective in treatment of proximal humerus fracture with high rate of bony union and early mobilization with excellent clinical and radiological outcome.
Pages: 472-477  |  625 Views  81 Downloads
How to cite this article:
Dr. R Neelakrishnan, Dr. S Saran Prasath, Dr. V Bharathiselvan, Dr. PS Balamurgavel, Dr. K Parasuraman, Dr. R Ravikrishna. Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate. Int J Orthop Sci 2020;6(4):472-477. DOI: 10.22271/ortho.2020.v6.i4g.2375
 
International Journal of Orthopaedics Sciences
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