Online ISSN: 2515-8260

Keywords : Open reduction internal fixation

Morphological landmarks of proximal humerus fracture in functional outcome post fixation by philos plate

Dr.NilaySaha, Dr.M Ayyub Khan,Dr.Ajay VM

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 217-224

Proximal humerus fractures present with different configurations in patients with varying
comorbidities and expectations. Various treatment options are available for treating proximal
humerus fractures. A good functional outcome with context to the early joint mobilisation and
rigid fixation of the fracture can be achieved with PHILOS plate in proximal humerus
fractures.Patients admitted with proximal humerus fractures as inpatient in department of
orthopaedics were included in the study satisfying the inclusion and exclusion criteria.30
patients with proximal humerus fracture were treated by open reduction internal fixation with
PHILOS plate. Improvement of Constant-Murley score at 6 weeks of 47.83 to 64.67 at 12
weeks(p=<0.001), 75.27 at 24 weeks(p=<0.001) and 78.33 at final follow up(p=<0.001).
Most of the patients had excellent (43.3%) followed by good (33.3%), poor (16.7%) and fair
(6.7%) outcome. Varus malunion 6(20%) was the most common complication.Proximal
humeral internal locking system (PHILOS) is the implant of choice for treating displaced
proximal humerus fractures which leads good functional outcome in patients.