Functional outcome of Philos plate fixation in proximal humerus fractures

Abstract

Background: Conservative treatment for Proximal humeral fractures were common in the past and often had compromised functional results. With the advancement of surgical techniques, proximal humerus fractures are now more often managed operatively for early rehabilitation and better functional outcome. The aim of this study was to assess the functional outcome of PHILOS plate fixation in proximal humerus fractures. Materials and Methods: A prospective, non-controlled, non-randomized study was conducted on patient admitted in our institution between July 2016 and August 2017 with displaced proximal humeral fractures with mean age of 50 years (range 24-75years). 15 patients were selected for the study. The outcome was assessed based on Constant-Murley score. Results: Results were analysed according to Constant-Murley score. Excellent results were achieved in 3 (20%), good results in 7 (46.66%), fair results in 3 (20%) and poor result in 2 (13.33%) of the cases. Avascular necrosis (AVN) and non-union was observed in one patient. Conclusion: PHILOS plate fixation for proximal humeral fracture is a good stable fixation with a good functional outcome especially in osteopenic elderly patients