To study functional and radiological outcome of proximal humerus fractures treated with Philos plate

Abstract

Introduction: Fractures of proximal humerus is the third most common fracture after hip fracture and colles fracture in elderly patients. As the technology has advanced, the elderly people no longer need to be denied effective surgical treatment.Aim of the study: The aim of the study was to analyze the functional and radiological outcome and to assess the complications of proximal humeral fractures treated using PHILOS plates.Materials and Methods: This study we have analyzed 16 cases of proximal humeral fractures treated surgically using PHILOS plate admitted at Gmc jammu from April 2021 to April 2022. All the patients were reviewed at two weeks interval, for first three months and later every month. During follow up, patients were clinically evaluated for pain and function. The minimum follow-up period was 3 months and maximum follow up period was 8 months. Radiological evaluation of fracture union was observed by serial x rays.Results and Observation: Majority of injured patients were females (70%) and the highest number of patients were in their 5th decade (40%). Free fall at ground level was the most common mode of injury (70%). Early complications like superficial skin infection, screw penetration and Late complications like Osteonecrosis and joint stiffness were encountered. DASH Score was used to assess the functional outcome of our patients.Conclusion: Finally we concluded that displaced proximal humeral fractures when treated surgically produce greater range of movements (ROM), less pain and less stiffness. Functional outcome is better with isolated fractures than with fracture dislocations. Functional outcome of 2 part fractures is better than 3 part and 4 part fractures. Radiological outcome assessed by means of quality of reduction and union of fracture in two and three part fractures is better than in four part fractures.