Locking plate fixation for unstable proximal humerus fracture: A prospective study

2021 ◽  
Vol 35 (2) ◽  
pp. 51
Author(s):  
Victor Moirangthem ◽  
Prem Regis
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Locking Plate ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Humerus Fracture ◽  
Locking Plate Fixation ◽  
A Prospective Study

scholarly journals Fixation of proximal humerus fracture in adult by locking plate: Clinical study

2020 ◽  
Vol 6 (5) ◽  
pp. 325-332
Author(s):  
Dr. Vivek Amritbhai Patel ◽  
◽  
Dr. Vishal A. Pushkarna ◽  
Dr. Dhruvin J. Patel ◽  
◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus Fracture ◽  
Locking Plate ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Humeral Fracture ◽  
Humerus Fracture ◽  
Functional Evaluation ◽  
Locking Plates ◽  
Radiological Union

p>Aim: The present study aimed to examine the functional outcome of the locking plate in theproximal humerus fracture treatment. Material and Methods: The study consists of 20 patientsdiagnosed with NEER’s 2 – part, 3- part, and 4 – part proximal humerus fracture. All the includedpatients were treated with internal locking plates. Based on the functional evaluation by Constant-Murley shoulder score and the assessment of radiological union foundation. Results: Excellentresults were obtained in 45% of the patients, a good result was seen in 25%, 20% of the patientshad fair results and the poor result was seen in 10% of the patients. The mean Constant-Murleyshoulder score that was obtained in the present study was 75.04. Conclusion: It’s concluded thatthere is a satisfactory functional outcome with the fixation of the proximal humerus fracture withlocking plates. While using the plate fixation for fracture the plate position is of the utmostimportance. Due to angular stability, the locking plates are the advantageous implants in case ofproximal humeral fracture.

scholarly journals A prospective study to analyze the outcome of proximal humerus fracture managed with proximal humerus locking plate

2016 ◽  
Vol 2 (4) ◽  
pp. 215
Author(s):  
Biju R. ◽  
Kumar Babu B.L.S. ◽  
Viswanath Gautham M.
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Locking Plate ◽  
Proximal Humerus ◽  
High Energy ◽  
Humerus Fracture ◽  
Common Mechanism ◽  
Minor Trauma ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

<p><strong>Background:</strong> The incidence of proximal humerus fractures has increased in last few years due to changes in life style and increase in road traffic accidents. Hence, the challenge of the modern day treatment was to get accurate reductions anatomically, fast healing and early restoration of function. Proximal humerus locking plate revolutionized the treatment without compromising fracture union. The present study aimed to evaluate the functional and radiological outcome of proximal humerus fracture managed with proximal humerus locking plate.</p><p><strong>Methods:</strong> This prospective study was conducted at Narayana Medical College Hospital for a period of two years from December 2014 to June 2016. 30 cases of proximal humerus fractures in adults after meeting inclusion criteria were participated and treated surgically with proximal humerus locking plate technique. Consent form was taken from all the patients. The final functional outcome was assessed by radiography and DASH scoring system.</p><p><strong>Results:</strong> Proximal humerus fractures were found to have high incidence in the 40 to 45 age group which had 37% of the study population. Males predominated over females in our study. Ratio of males to female was 2:1. Right sided fractures are more in the present study in both the sexes. The most common mechanism of injury was fall on the outstretched hand from a standing height or less with minor trauma seen in 34% of patients. High energy trauma was more frequently involved in younger patients (30%). According to Neer’s classification two part fractures constituted the most common type 16 (54%) in this study. The collected data was analyzed using SPSS software version 23.0. A ‘p’ value less than 0.05 was considered significant.</p><strong>Conclusions:</strong> The proximal humerus locking plate method for proximal humerus fracture emerges to be safe, effective, reliable fixation with minimal complications.

scholarly journals MANAGEMENT AND OUTCOME ANALYSIS OF PROXIMAL HUMERUS FRACTURES BY PHILOS - A PROSPECTIVE STUDY

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Mukka Naveen ◽  
D. Narsimlu
Keyword(s):  
Prospective Study ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
Early Recovery ◽  
Systemic Complications ◽  
Post Surgery ◽  
Humerus Fractures ◽  
A Prospective Study

Introduction: Proximal humerus fracture is considered as one of the commonest fractures in clinical practice. Most of these fractures occur as a result of osteoporosis. Proximal humerus fractures are often nondisplaced or minimally displaced fractures with two parts, which can be managed conservatively. Surgical interventions include closed reduction and percutaneous pinning (CRPP). It also involves trans-osseous suture fixation, Open Reduction Internal Fixation (ORIF) with either conventional or Proximal Humerus Interlocking Osteosynthesis System (PHILOS) or hemiarthroplasty. Good clinical outcomes have been achieved by the PHILOS as they stabilize the proximal humeral fractures with steady fixation in osteoporotic bone and assisted aged patients in early functional exercises which resulted in early recovery.  Aim: To analyse the functional results and complications associated with management of proximal humerus fractures treated with PHILOS. Materials and Methods: This is a prospective study conducted at Department of Orthopaedics, Prathima Institute Of Medical Sciences, Nagunur, Karimnagar, from July 2017 to January 2019.  58 patients were taken into study with two-part, three-part, four-part fracture of the proximal humerus in adults >18 years of age. In all patients PHILOS plating was done and surgical events and surgical difficulties faced, post-surgery local or systemic complications, time needed for fracture union and time taken to return to pre-fracture activity were documented. They were followed up till there were signs of union on radiographs or for at least a period of 1 year. Results: The results were assessed with Constant Murley Score at 6 months post-surgery and Visual Analogue Scale at 6 weekly intervals. The mean Constant score for two-part fractures was 88.1, for Three-part 82.5, for Four-part 72.7. The patients with two-part and three-part fractures had a significantly better VAS than patients with four-part fractures till 18 months of surgery. After 18 months the VAS was similar for all 3 groups. 6.9% developed shoulder stiffness, 2 patients from four-part fracture group developed Varus angulation. Conclusion: we conclude that the PHILOS is safe, effective and provides stable fixation for  proximal humerus fractures and in patients with indigent bone quality.  Keywords:  PHILOS, Proximal Humerus Fracture

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