Proximal humeral fractures consist
of 4-5% of all the fractures in human body and make up
80% of all humeral fractures.Most of these fractures
results from minor trauma in old age and high velocity
injury in younger.Different operative treatment
modalities are available for this fracture. TheProximal
Humeral Internal Locking System plate (PHILOS plate)
is an internal fixation system that helps in angular
stability, reduce vascular compromise and improve
fixation in osteoporotic. This study was performed to
evaluate the functional outcome in proximal humerus
fractures treatedwithPHILOS plating.
METHODS:Aprospective observational study conducted
from July2018 to Aug 2019 inNational trauma center,
Bir hospital Nepal. 41 patients fulfilling the criteria were
enrolled in the study and treated with open reduction
and internal fixation with PHILOS plate and the
outcome assessed using Constant Murley scoreat 6
weeks, 3 months and 6 monthsfollow up. The collected
data were analyzed using Fisher exact test.
RESULT:The outcome in this study was good in 58.5%,
fair in 24.4%, poor in 9.8% and excellent in 7.3% of the
cases with mean Murley Score 80.1±6.1SD. 65.9%
patients had good to excellent outcome and 97.6 %
patients had achieved clinical and radiological union at 6
month.
CONCLUSIONS:Majority of the patients had good to
excellent outcome with almost all had radiological union
at six month periods. Open reduction and internal
fixation with the PHILOS plate provides high degree of
angular and axial stability and prevent fixation failure
and thus helps in early joint mobilization and returns to
functional activity.
Keywords :
constant murley score;PHILOS plate;proximal humerus fracture.