Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Proximal humerus fractures accounts for approximately 4‐5% of all the fractures and are next to hip fractures and distal radius fractures in the elderly population. The majority of the patients with this fracture are elderly, which increasesthe risk of their bones to be osteoporotic or brittle. The majority of proximal humerus fractures are caused by low energy trauma. The proximal humerus interlocking system(PHILOS) plates fixation provides greater angular stability than conventional implants. It works as a locked internal fixator and provides better anchorage of screws in osteoporotic bone, with good functional outcome. A minimum of 30 patients with proximal humerus fracture will be taken for study. Patients will be treated by open reduction internal fication with PHILOS plate. Follow up will be for a minimum period of 6 months. The functional outcome was assessed with subjective questionnaire scoring system i.e, constant score and radiological union with cortical continuity across the fracture in 3 out of 4 cortices at 6weeks, 12weeks, 24weeks and 36weeks post operatively. With each follow up clinical and radiological evaluation will be done. The average age was 44.53 years. As per the Neers classification system, there were 6 (20%) 2‐part, 14 (46.7%) 3‐part and 10 (33.3%) 4‐part fracture respectively. The average duration of hospitalization was 12.93 days. The average duration of radiological union was 12.4 weeks. There were 2 (3.77%) cases of varus collapse. Out of the 11 instances studied, 36.7% experienced complications, with Varus Malunion being the most prevalent complication, observed in 16.7% of the cases. Additional problems included Stiffness 3 (10.0%), Superficial Infection 1 (3.3%), Avascular Necrosis 1 (3.3%) and Implant Failure 1 (3.3%). As per the Neer's scoring system, An excellent outcome was observed in 17 patients, accounting for 56.7% of the total. A good outcome was observed in 6 patients, representing 20.0% of the total. A fair outcome was observed in 3 patients, accounting for 10.0% of the total. Lastly, a poor outcome was observed in 4 patients, representing 13.3% of the total. The Proximal Humeral Internal Locking System (PHILOS) is the preferred implant for treating displaced fractures of the proximal humerus, since it results in favourable functional outcomes for patients.
How to cite this article:
. A Prospective Study to Analyse the Functional and Radiological Outcome of Proximal Humerus Fracture Treated With Philos Plate.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.119.124
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.119.124