A Comparative Study of Functional and Clinical Outcome of Proximal Humerus Fracture Treated with PHILOS Plate

Author(s): Dr. Abhishek Dhoke, Dr. Sandeep Bhinde, Dr. Vinayak Mani Dwivedi, Dr. Shubham Nagdev, Dr. Vipin Kumar Raghuwanshi

Introduction: Proximal humerus fractures (PHFs) are the predominant form of humeral fractures, encompassing a spectrum of injuries affecting the articulating surface, greater tuberosity, lesser tuberosity, or the surgical neck of the humerus. PHFs account for approximately 10% of fractures in patients aged over 65 years. The third most prevalent type of osteoporotic fractures are PHFs, with a lifetime risk of 13% for women aged 50 years and above.

Materials and Methods: As per study criteria 40 patients with fracture of shoulder was included in this study. After admission of patients a detailed, careful history was taken to know the mechanism of injury. Patient was assessed clinically to evaluate general condition; vitals were recorded and examination of fracture site was done. Radiological assessment was done and fracture was classified and preoperative routine haematological investigation was done.

Result: According to NEER’s classification of fractures, 14 (34.41%) cases had two-part fractures, 19 (46.3%) cases had three-part fractures and 8 (19.5%) cases had four-part fractures. Excellent results (score > 89) were noticed in 27 (65.85%) of the instances, good results (scoring 80-89) in 10 (24.39%) and fair results (score 7079) in 4 (9.75%).

Discussion and Conclusion: After a mean follow up of 12 months, the mean Constant score was 88.90 ± 7.31 we recommend the use of the PHILOS plate as a surgical alternative in the management of displaced proximal humeral fractures.