Abstract: Background: PHILOS plating is used for two to four fragmented dislocated fractures of the proximal humerus, including fractures involving osteopenic bone, pseudarthroses and osteotomies in the proximal humerus. Various studies have been conducted regarding the outcome of fracture of proximal humerus treated with PHILOS plating with variable outcomes. The present study was designed to determine the efficacy and functional outcome of PHILOS locking plate in proximal humerus fractures.
Method: As per study criteria, 40 patients with fracture of the shoulder was included in this study. After the admission of patients a detailed, careful history was taken to know the mechanism of injury. The patient was assessed clinically to evaluate general condition, vitals were recorded and an examination o fracture site was done to know the Swelling, deformity, loss of function and nerve injury, distal vascularity. Radiological assessment was done and fracture was classified and a preoperative routine haematological investigation was done.
Result: Regarding complications of surgery, postoperative infection was found in 2(5%) patients, stiffness of the shoulder was present in 2(5%) patients, one patients developed malunion and Osteonecrosis was present in one patients. The constant score was excellent in 20 (50%) patients; it was good in 18(45%) patients and fair in 2(5%) patients.
Discussion and Conclusion: From the present study we can conclude that PHILOS platting provides good fracture stabilization in the treatment of proximal humeral fractures. Stiffness of the shoulder was a common complication but present in 5% of patients. The postoperative outcome was excellent in most of the patients.
