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Does Proximal Humerus Inter Locking System (PHILOS) Plating Provide a Good Functional Outcome in Proximal Humerus
Prabhu Ethiraj1, Sagar Venkataraman1, Karthik S J1
1Orthopaedics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.
Proximal humerus fracture treatment with PHILOS plating shows good to excellent functional outcomes in most patients. This locking plate system offers stability, aiding early shoulder movement and fracture healing.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomechanics
Background:
- Proximal humerus fractures lack a universally effective treatment strategy.
- Surgical intervention is required for only about 20% of these fractures.
Purpose of the Study:
- To evaluate the functional outcomes of proximal humerus fracture treatment using PHILOS (Proximal Humerus Inter Locking System) plating.
- To assess fracture union duration via follow-up X-rays.
Main Methods:
- Retrospective study of 40 patients treated with PHILOS plating.
- Functional outcomes assessed using the Constant Murley score.
- Fracture union evaluated radiologically.
Main Results:
- Average fracture union time was 13.75 weeks.
- 55% of patients achieved good outcomes, 5% excellent, 17.5% fair, and 22.5% poor.
- Mean Constant score was 68.75±14.03.
Conclusions:
- PHILOS plating provides adequate stability for proximal humerus fractures, even in osteopenic bone.
- Early shoulder mobilization is facilitated without compromising fracture union.
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