EVALUATION OF RESULTS OF PROXIMAL HUMERUS FRACTURE TREATED BY PHILOS PLATTING

Mapping Intimacies ◽

10.36106/5917334 ◽

2021 ◽

pp. 71-72

Author(s):

Kautilyakumar V. Mahida ◽

Jyotish G. Patel ◽

Ankit Patel

Keyword(s):

Functional Outcome ◽

Functional Outcomes ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Constant Score ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Humerus Fracture ◽

Complication Rates ◽

Philos Plate

Purpose: To assess the functional outcome of proximal humerus fracture treated with Proximal Humerus Internal Locking osteosynthesis (PHILOS) plating. Methods: Functional outcomes of 30 patients aged 30 to 75 (mean 57) years who underwent Philos plate xation for proximal humeral fractures were evaluated after taking informed consent about the study. Indications for surgery were 2-part, 3-part or 4-part closed proximal humeral fractures with angulation of more than 45 degrees or displacement of more than 1 cm. All patients satisfying the inclusion criteria were operated and followed up for 6 months .Functional outcomes and shoulder range of movement were assessed based on the Constant scoring system and was done at 6 months postoperatively. Result: Patients were followed up for 6 months. All fractures healed satisfactorily. No wound infections, vascular injuries, avascular necrosis, or loss of xation ensued. One patients with axillary nerve palsy recovered spontaneously within 3 months. Functional outcome was excellent in 11 patients, good in 15, and moderate in 4. The mean Constant score was 83(range 40–100). Conclusion: Proximal humerus fractures treated by Open Reduction and Internal Fixation by Philos plate have good functional results with low complication rates.

Download Full-text

Functional outcome of patients treated with proximal humeral internal locking osteosynthesis plate in proximal humeral fractures

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20204581 ◽

2020 ◽

Vol 6 (6) ◽

pp. 1182

Author(s):

Tigy Thomas Jacob ◽

Manmatha Nayak

Keyword(s):

Functional Outcome ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Articular Surface ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Humerus Fracture ◽

Excellent Outcome ◽

Osteosynthesis Plate ◽

Philos Plate

Background: Displaced or unstable proximal humeral fractures fare poorly with non-operative treatment. These are better treated with surgical intervention in order to prevent minimal displacement of tuberosity or articular surface from compromising the long term articular function. The objective was to assess the functional outcome of patients treated with PHILOS (the proximal humeral internal locking osteosynthesis) plate in proximal humerus fracture.Methods: 42 patients age group range between 20 and 80 years 61.9% are male and 38.1% are female treated with philos plate. Functional outcome measured by using Constant and Murley score.Results: 50% were Neer two part fractures, 35.7%, three part fractures, 14.3%, four part fractures. After 6 month follow up functional outcome assessed by using constant and Murley score. Excellent outcome in 1 (2.4%) good outcome in 13 (31%), fair outcome in 19 (45.2%) and poor outcome in 9 (21.4%) noted.Conclusions: PHILOS plate fixation of proximal humerus fracture is an effective surgical technique in maintaining stability of fractures and there is significant improvement in functional outcome.

Download Full-text

Functional outcome of displaced proximal humerus fractures managed by proximal humerus interlocking system plate

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171906 ◽

2017 ◽

Vol 3 (3) ◽

pp. 583

Author(s):

C. D. Deepak ◽

Mahesh D. V. ◽

Abdul Ravoof ◽

Manash Jyoti Baruah

Keyword(s):

Functional Outcome ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Road Traffic ◽

Osteoporotic Fractures ◽

Humerus Fracture ◽

Distal Radial Fractures ◽

Patients Âgés ◽

Philos Plate ◽

The Right

Background: Fractures of the proximal humerus are the second most common upper extremity fracture and the third most common fracture, after hip and distal radial fractures. The fractures can occur at any age, but the incidence rapidly increases with age.Methods: The study was conducted in patients treated for displaced proximal humerus fracture at Adichunchanagiri Institute Of Medical Sciences, BG Nagar from the month of June 2014 to August 2016. Twenty proximal humerus fracture patients were taken into the study; all were fixed with PHILOS plate. Patients’ age ranged from 18 to 75 years with a mean of 42.9.Results: The sample consisted of twenty patients of proximal humeral fractures. 08 were males and 12 females. The patients’ ages ranged from 18-75 years with a mean age of 42.9 years. The causes of fractures were road traffic accident in 13 patients, fall in 06 patients and electric shock in 1 patient. 11 fractures involved the right side and 09 involved the left. Patients were followed up from 03 weeks to 06 months. Functional outcome was rated as per Constant-Murley Shoulder Score, we got excellent results in 04 cases, satisfactory in 10, unsatisfactory in 05 xi and failure in 01 patient. Mean Constant-Murley score of this study at the end of the final follow-up period was 81.6. Conclusions: The PHILOS plate is a good implant to use for fractures of the proximal humerus. However, proper placement of the plate and fixation are required to produce satisfactory results. We recommend use of this implant in Neer 2-part, 3-part, 4-part fractures with or without dislocation and osteoporotic fractures.

Download Full-text

Short and medium term functional outcome of hemi-replacement in complex proximal humerus fracture

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20202049 ◽

2020 ◽

Vol 6 (4) ◽

pp. 810

Author(s):

Niranjan Tadvi

Keyword(s):

Functional Outcome ◽

Traffic Accidents ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Road Traffic ◽

Total Shoulder Arthroplasty ◽

The Elderly ◽

Humerus Fracture ◽

Complication Rates ◽

Constant Murley Score

Background: Complex proximal humerus fractures are common injuries are common just because of high incidence of road traffic accidents and old age population. The aim of this study was to evaluate the functional outcome in hemi-replacement in complex 3and 4 part of proximal humerus fracture.Methods: This prospective study was conducted in the Department of Orthopaedics, Sir. T. Hospital, Bhavnagar from August 2010 to April 2014. Out of 30 patients 27 turned up for follow up 3 was lost. Functional and clinical assessments using the age and gender specific Constant-Murley score.Results: Excellent to good outcome as per Constant-Murley score was seen in 16 patients, moderate outcome in 8 patients and poor outcome in 3 patients.Conclusions: To spare proximal humerus in younger patients there should be do osteosynthesis procedure with every effort. In the elderly, especially with more complex four-part fractures and fracture dislocations, hemiarthroplasty and reverse total shoulder arthroplasty are specified to decrease complication rates and improve functional outcomes.

Download Full-text

Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2020.v6.i4g.2375 ◽

2020 ◽

Vol 6 (4) ◽

pp. 472-477

Author(s):

Dr. R Neelakrishnan ◽

Dr. S Saran Prasath ◽

Dr. V Bharathiselvan ◽

Dr. PS Balamurgavel ◽

Dr. K Parasuraman ◽

...

Keyword(s):

Functional Outcome ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Humerus Fracture ◽

Philos Plate

Download Full-text

Assessment of functional outcome of surgical management of proximal humerus fracture treated with PHILOS plate

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20183673 ◽

2018 ◽

Vol 4 (5) ◽

pp. 736

Author(s):

Jairam D. Jagiasi ◽

Mihir R. Patel ◽

Sagar G. Daliya ◽

Amol Bochare ◽

Manan Vora

Keyword(s):

Functional Outcome ◽

Scoring System ◽

Proximal Humerus ◽

Plate Fixation ◽

Surgical Techniques ◽

Functional Results ◽

Operative Management ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Philos Plate

Background: Proximal humeral fractures were treated conservatively in the past and often had compromised functional results. With the advancement of surgical techniques, these fractures, especially displaced, are now more often managed operatively; to meet the needs of the patient, provide early rehabilitation and better functional outcome. The aim of this study was to assess the functional outcome of operative management of proximal humeral fractures with Philos plate fixation.Methods: In this prospective study, 30 patients aged 19-75 years (mean age 47.1 years) with fractures of the proximal humerus, including two-, three-, and four-part fractures, were treated by open reduction internal fixation with Philos plating. Patients’ functional outcomes were evaluated based on subjective (35 points) and objective (65 points) parameters, as per the constant scoring system.Results: Functional outcome based on the constant scoring system of the patient at 6 month follow-up were compared. Excellent results were seen in 12 patients (40%), 2 had very good results (6.66%), 9 patients were having good (30%) and 6 had fair (20%) functional outcome. One patient had poor functional results (3.33%). Avascular necrosis (AVN) of the humeral head was observed in one patients.Conclusions: Philos plate fixation for proximal humeral fractures provides good stable fixation with good functional outcome and is a feasible option.

Download Full-text

Management of fracture upper end humerus with proximal humerus internal locking system

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20171857 ◽

2017 ◽

Vol 5 (5) ◽

pp. 2134

Author(s):

Sanjeev Sreen ◽

Deepak Vashisht ◽

Manjit S. Daroch

Keyword(s):

Functional Outcomes ◽

Proximal Humerus ◽

Plate Fixation ◽

Excellent Result ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Range Of Movement ◽

Patient Will ◽

Philos Plate ◽

Distal Forearm Fractures

Background: Fracture of proximal humerus is the second most common fracture of the upper extremity, following distal forearm fractures. Aim of the present study was to evaluate the efficacy of proximal humerus internal locking system (PHILOS) plate fixation for proximal humerus fractures.Methods: Functional outcomes of 12 men and 18 women aged 22 to 78 (mean, 58) years who underwent PHILOS plate fixation for proximal humeral fractures were reviewed. Indications for surgery were 2 part (n=9), 3 part (n=14) or 4-part (n=7) closed proximal humeral fractures with angulation of more than 45 degrees or displacement of more than 1 cm. Functional outcomes and shoulder range of movement were assessed based on the Constant scoring system.Results: All patients will be followed up at monthly intervals for 6 months. During this period patient, will be motivated for physiotherapy and gradual normal use of the affected limb. Fracture union will be assessed clinically and radiologically. In our study of fracture proximal humerus union in most of the cases (24) occurring between 10-14 weeks. Range of union time was 8 to 18 weeks. one case of avascular necrosis of head occur in our case. In out of 30 cases excellent result in 7 cases, Good in16 cases Satisfactory in 5 cases and Poor in 2 cases were obtained.Conclusions: The PHILOS plate fixation is effective treatment for proximal humeral fractures particularly in osteoporotic bones.

Download Full-text

Philos Plate Fixation for Proximal Humeral Fractures

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700103 ◽

2009 ◽

Vol 17 (1) ◽

pp. 10-14 ◽

Cited By ~ 9

Author(s):

AA Martinez ◽

J Cuenca ◽

A Herrera

Keyword(s):

Functional Outcomes ◽

Constant Score ◽

Plate Fixation ◽

Axillary Nerve ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Range Of Movement ◽

Appropriate Treatment ◽

Philos Plate ◽

Shoulder Range

Purpose. To evaluate the efficacy of Philos plate fixation for proximal humerus fractures. Methods. Functional outcomes of 31 men and 27 women aged 36 to 73 (mean, 61) years who underwent Philos plate fixation for proximal humeral fractures were retrospectively reviewed. Indications for surgery were 3-part (n=33) or 4-part (n=25) closed proximal humeral fractures with angulation of more than 45 degrees or displacement of more than 1 cm. Functional outcomes and shoulder range of movement were assessed based on the Constant scoring system. Results. Patients were followed up for 12 to 18 (mean, 15) months. All fractures healed satisfactorily, except in one patient with a valgus 4-part fracture who had malunion. No wound infections, vascular injuries, avascular necrosis, or loss of fixation ensued. Two patients with axillary nerve palsy recovered spontaneously within 3 months. Functional outcome was excellent in 13 patients, good in 36, moderate in 8, and poor in 1. The mean Constant score was 80 (range, 40–100). Conclusion. The Philos plate fixation is appropriate treatment for proximal humeral fractures.

Download Full-text

Functional outcome of proximal humerus fracture treated by PHILOS plate

Injury Extra ◽

10.1016/j.injury.2010.07.494 ◽

2010 ◽

Vol 41 (12) ◽

pp. 164

Author(s):

M. Al-Najjim ◽

A. Mustafa ◽

S. Lipscombe ◽

M. Waseem

Keyword(s):

Functional Outcome ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Humerus Fracture ◽

Philos Plate

Download Full-text

Outcome analysis of patients with proximal humerus fractures treated with locking plates

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171578 ◽

2017 ◽

Vol 3 (3) ◽

pp. 401

Author(s):

Ritesh Kumar ◽

S. Natarajan ◽

Sanjeev Kumar ◽

R. Kalanithi

Keyword(s):

Surgical Technique ◽

Functional Outcome ◽

Proximal Humerus ◽

Constant Score ◽

High Energy ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Proximal Humerus Fractures ◽

Locking Plates ◽

Humerus Fractures

Background: Fracture of proximal humerus incidence has been reported to be 73 cases per 100,000 individuals per year. There are different methods of treatment of proximal humeral fractures. The aim of our study is to analyse the functional outcome of proximal humerus fractures treated with proximal humerus locking plates and to analyse the possible benefits and complications of the procedure.Methods: This is a retrospective study of 34 patients with proximal humeral fractures treated with ORIF using Proximal humeral locking plates from October 2010 to November 2012 at Saifee Hospital, Mumbai. The cases are evaluated as regards to functional outcome using constant score, fracture healing clinically, radiologically and complications if any and reason for them.Results: Our study shows that proximal humerus fractures are now increasingly seen in younger population with good bone stock following high energy trauma. In elderly it was low energy trauma. The average time of radiological fracture union in our study was 10 weeks (8-16 weeks). The mean constant score at final follow up was 66.7 (35-90). A total of 17 patients (51%) had excellent or good results, but in 9 (27%) the outcome was poor. Eight (23%) complications were noted resulting in poor functional outcome. Conclusions: Proximal humeral locking plate is a good method of osteosynthesis for complex proximal humerus fractures allowing early mobilization, good functional outcome. A reproducible standard surgical technique is absolutely necessary for improved patient outcome. Most of the complications in our study were related to the surgical technique. The precise surgical technique, stable fracture fixation and restoration of correct neck shaft angle are absolutely necessary for improved outcome.

Download Full-text