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Functional outcome following proximal humeral interlocking system plating for displaced proximal humeral fractures
David S Thyagarajan1, Samarth J Haridas, Denise Jones
1Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, South Wales.
Aim:
To assess the functional outcome following internal fixation with the PHILOS (proximal humeral interlocking system) for displaced proximal humeral fractures.
Patients And Methods:
We reviewed 30 consecutive patients treated surgically with the proximal humeral locking plate for a displaced proximal humeral fracture. Functional outcome was determined using the American Shoulder and Elbow Society (ASES) score and Constant Murley score.
Results:
Average age of the patients was 58 years (range, 19-92 years). The average overall ASES score was 66.5. The average overall Constant score was 57.5.
Conclusion:
Our results show that good fracture stability was achieved, and the functional outcome was very good in younger patients and it declined with increasing age. Early mobilization of the shoulder can be achieved without compromising fracture union.
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