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

Authors

  • Sanjeev Sreen Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India
  • Deepak Vashisht Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India http://orcid.org/0000-0001-7909-4027
  • Manjit S. Daroch Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20171857

Keywords:

Fracture fixation, Internal humeral fractures, PHILOS

Abstract

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.

Author Biographies

Sanjeev Sreen, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Assistant Professor

Orthopaedics

Deepak Vashisht, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Senior Resident

Manjit S. Daroch, Department of Orthopaedics, Government Medical College and Hospital, Patiala, Punjab, India

Professor

Orthopaedics

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Published

2017-04-26

How to Cite

Sreen, S., Vashisht, D., & Daroch, M. S. (2017). Management of fracture upper end humerus with proximal humerus internal locking system. International Journal of Research in Medical Sciences, 5(5), 2134–2138. https://doi.org/10.18203/2320-6012.ijrms20171857

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Original Research Articles