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Functional outcomes in proximal humerus fractures: A prospective registry-based analysis
Tashfeen Ahmad1, Zehra Abdul Muhammad2, Amna Haroon3
1Departments of Surgery and Biological & Biomedical Sciences, Aga Khan University, Karachi, Pakistan.
Proximal humerus fracture outcomes improved with the Proximal Humeral Internal Locking System (PHILOS). PHILOS combined with bone graft/BMP showed delayed recovery in fracture patients.
Area of Science:
- Orthopaedic Surgery
- Traumatology
- Rehabilitation Medicine
Background:
- Proximal humerus fractures are common injuries, particularly in adults.
- Management strategies vary, impacting functional recovery.
- Evaluating outcomes across different fracture types and treatments is crucial.
Purpose of the Study:
- To compare functional outcomes of proximal humerus fractures based on fracture category and management procedure.
- To assess the effectiveness of the Proximal Humeral Internal Locking System (PHILOS) compared to other treatments.
Main Methods:
- Prospective cohort study using data from an orthopaedic trauma registry (June 2015 - October 2019).
- Included 68 adult patients with proximal humerus fractures; 57 underwent surgery.
- Functional outcomes assessed up to 12 months post-treatment.
Main Results:
- At 3 months, the PHILOS group showed significantly better outcomes than PHILOS with bone graft/BMP (p=0.041).
- PHILOS with bone graft/BMP was linked to delayed recovery compared to other methods.
- No significant differences in outcomes were found between isolated vs. combined upper limb fractures, genders, or fracture categories.
Conclusions:
- The PHILOS implant offers superior functional outcomes for proximal humerus fractures compared to its use with bone graft/BMP.
- Combining PHILOS with bone graft/BMP may lead to delayed patient recovery.
- Treatment choice and fracture pattern do not significantly alter functional outcomes in certain comparisons.
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