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 outcome of fracture of proximal humerus treated with PHILOS plating with variable outcome. 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 shoulder was included in this study. After admission of patients a detailed careful history was taken to know the mechanism of injury. Patient was assessed clinically to evaluate general condition, vitals were recorded and 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 preoperative routine haematological investigation was done.
Result: Regarding complications of surgery postoperative infection was found in 2(5%) patients, stiffness of shoulder was present in 2(5%) patients, one patients developed malunion and Osteonecrosis was present in one patients. 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 present study we can conclude that PHILOS platting provides good fracture stabilization in the treatment of proximal humeral fractures. Stiffness of shoulder was common complication but present in 5% patients. Postoperative outcome was excellent in most of the patients.