Early results of three and four part proximal humerus fractures treated with PHILOS Proximal Humerus Interlocking System plate

Muhammad Ali, Muhammad A Wajid


Achieving stable fixation has been a challenge in proximal humerus fractures PHILOS Proximal Humerus internal locking system is the latest generation of locking compression plate system for such fractures The aim of the current study was to assess the clinical and functional outcome of proximal humeral fractures part and part treated with the PHILOS plate This was a retrospective review of first ten cases operated at our centre by a single surgeon The patients were followed in out patient clinics till fracture union Fracture healing was assessed by clinical and radiological criteria and shoulder function was evaluated using Constant and Murley score Average follow up was plusmn weeks Eight patients had fracture healing at an average of plusmn weeks post operatively and gained moderate range of motion Two patients had complications i e one had deep infection and another had screw pull out Conclusion Open reduction and internal fixation with PHILOS plate showed acceptable functional outcome Apart from the one case with screw pull out our early results using this plate are encouraging with no other implant related complications and good early healing

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