Role of PHILOS in Proximal Humerus Fractures
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 8, Pages 1896-1900
Abstract
Background: Proximal humerus fractures are common and debilitating injuries and the incidence of them are increasing especially in the elderly. Treatment of unstable, displaced, and comminuted proximal humerus fractures remain challenging. Significant controversy continues regarding the best methods of treating displaced proximal humerus fractures. The treatment goal is to achieve a painless shoulder with a fully functional outcome. Regarding the treatment of proximal humerus fractures, controversies still exist about whether to do conservative or operative management. Various operative procedures are carried out like percutaneous pinning, tension band wiring, platting, and rush nailing. A recent method of internal fixation is with locking plates. PHILOS plates provide rigid fixation and more angular stability compared to other methods of operative treatment of proximal humerus fractures and help in early mobilization and physiotherapy which leads to achieving a painless shoulder with a good functional outcome.Materials and Methods: Patients with fractures of the proximal humerus admitted to our centre between August 2020 to July 2021 will be taken up for study after obtaining consent. Clinical evaluation was done by the Constant Murley score. Fractures are classified using Neer s classification. A minimum of 24 cases are studied.
Results: In conclusion locking Compression plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization.
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