European Journal of Molecular & Clinical Medicine

Abstract

Background: One of the most frequent fractures and ones with treatment options that can be challenging is proximal humerus fractures. With a focus on technical challenges and issues, the study's objective is to evaluate the effectiveness and functional outcome of PHILOS (proximal humerus internal locking system) plates in proximal humerus fractures.
Materials and Methods: This investigation was carried out at the Jhalawar Medical College Hospital's Orthopaedics Department. 22 patients who had suffered proximal humerus fractures were included in the study. Through a Deltopectoral approach, they received treatment with PHILOS (proximal humerus internal locking system) plates. Patients were assessed clinically and radiologically with the relevant X-rays at each follow-up.
Results: Our series of patients' end outcomes were assessed using Neer rating standards. In 18 (81.81%) of the patients we treated in our facility, we got good to excellent results. According to Neer's Criteria, all patients who had outstanding results or good results had normal muscle function and functional range of motion. In 4 (18.18%) of the patients, the outcomes were unsatisfactory. One of the patients developed plate impingement and was unable to abduct over 90 degrees. One case of Varus malunion occurred, decreasing neck shaft angle by 120 degrees, which is seen as inadequate. These patients' compliance and regular follow-up were inadequate.
Conclusion: In proximal humeral fractures, particularly comminuted fractures and osteoporotic bones in elderly patients, the PHILOS plate provides a mechanically and biologically advantageous implant, enabling early mobilisation.