Study of functional outcome of fracture of proximal humerus with philos plate using Mippo technique

Abstract

Proximal humerus fractures are commonly debilitating injuries and are increasing in elderly population regarding treatment controversies still exists. In our study all patients were treated with locking plates by mippo technique.Study type: Prospective studyMaterials and Methods: Study is conducted in KR Hospital, Mysore between November 2016 to July 2017. In our study total 19 patients were included (11 males and 8 females), all patients were preoperatively treated with shoulder immobiliser. After getting anaesthesia fitness all fractures were treated with anterolateral deltoid splitting approach and fixed with locking plates. Outcome was assessed by the constant murley score and followed up at 1, 3, 6 and 9 months.Results: Among the 19 patients 3 patients were lost in follow up. 1 patient had deep infection. 1 patient had axillary nerve paresthesia, recovered spontaneously. 1 patient had varus collapse at 4 months.Conclusion: MIPPO technique for proximal humerus fracture is easy to operate through anterolateral deltoid splitting approach and gives effective stabilization of fracture with locking plate, it allows for the early postoperative mobilisation.