European Journal of Molecular & Clinical Medicine

Abstract

Background: The aim of this study is to explore the clinical outcomes of locking compression plates (LCPs) Philos in elderly patients with 2-4 parts proximal humerus fracture (PHF).
Material and Methods: This is a Prospective, observational and descriptive study conducted from (March 2009 to June 2017) at Department of Orthopaedics, chalmeda Anand Rao Institute of Medical Sciences, Karimnagar .  Sampling methods: After confirmation of the proximal humerus fracture, patients were taken for study, if they fit into the above said criteria. Patients had undergone open reduction internal fixation with philos locking plating under GA for the sustained fracture. Post-operative physiotherapy followed according to protocol, to evaluate the functional outcome. Fractures were classified using Neer’s classification.
Results: In the present study, the most common mechanism of injury was found to be road traffic accidents with a total of 25 (62.5%) patients and rest 15 (37.5%) were injured due to accidental fall on the ground. In the present study, the right side proximal humerus fracture occurred in 22 (55%) patients and left side proximal humerus fracture occurred in 18 (45%) patients respectively. All fractures were classified according to Neer’s classification system. 17 (42.5%) patients were two-part, 13 (32.5%) were three-part and 10 (25%) were four-part. The Constant -Murley score achieved at the end of study period (6 months) was 66.32 ± 6.47.
Conclusions: The proximal humerus locking plate seems to be an adequate device for the fixation of displaced two-part, three part and four-part proximal humerus fractures. Due to stable fixation, early functional aftercare is possible and allows the patient to regain good shoulder function and resume normal activities much earlier.