Complex Proximal Humeral Fracture Fixation with PHILOS Plate using Minimal Invasive Percutaneous Plate Osteosynthesis
V L Narayanan1, N Balasubramanian1
1Department of Orthopaedics, Saveetha Medical College and University, Chennai, India.
Minimally invasive plate osteosynthesis using a locking compression plate effectively treats proximal humerus fractures. This technique offers good functional outcomes and promotes early return of shoulder function with minimal complications.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- Plate osteosynthesis for proximal humerus fractures is influenced by bone quality, implant design, and surgical technique.
- Minimally invasive approaches aim to reduce soft tissue disruption during fracture fixation.
Purpose of the Study:
- To evaluate the functional outcomes of minimally invasive percutaneous plate osteosynthesis for proximal humerus fractures.
- To assess the efficacy of locking compression plates in this patient cohort.
Main Methods:
- A study involving 30 patients with complex proximal humerus fractures.
- Treatment utilized minimally invasive percutaneous plate osteosynthesis with a PHILOS locking compression plate.
- Patients were followed for up to 12 months post-surgery.
Main Results:
- All 30 patients achieved fracture union, averaging 13.2 weeks.
- Mean DASH score was 8.69, with average flexion of 143.83° and abduction of 121.49°.
- Excellent outcomes were observed in 26 patients; 3 experienced superficial infections that resolved with antibiotics.
Conclusions:
- Minimally invasive percutaneous plate osteosynthesis with locking compression plates provides favorable functional outcomes for proximal humerus fractures.
- The technique facilitates early restoration of shoulder function with a low complication rate.
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