COMPARATIVE STUDY SHOWING FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURE FIXATION WITH PHILOS PLATING V/S PERCUTANEOUS K-WIRE FIXATION.

Abstract

Background: There is still a lot of debate, regarding the most effective ways to treat displaced proximal humerus fractures. Numerous xing techniques been developed for proximal humerus fractures (like percutaneous pinning, tension band wiring, screw xation, conventional plate, T buttress plate, locking plate, prosthetic replacement). Close reduction & percutaneous k-wire xation having advantage being minimal invasive, less soft tissue stripping, with less blood loss, hence useful in elderly patients. But implant of choice for treating displaced proximal humerus fractures is locking plate because it provides absolute anatomical xation with angular stability. This study evaluates prospectively, the functional outcome following PHILOS vs percutaneous pinning in proximal humerus fractures. 30 patie Methods: nts were enrolled for study based on OPD & trauma centre admissions based on inclusion & exclusion criteria. Patients were grouped into two groups based on consecutive sampling. Group A (15 Patients) {ODD} includes rst patients, Group B (15 Patients) {EVEN} includes second patients. Group A operated with proximal humerus internal locking system (PHILOS), & Group B with percutaneous K-wire xation. Functional outcome was assessed by NEER's Score. Results: Functional outcome at end of 6 months, based on Neer's Score, in group A, came out to be excellent in 12 (80%) and satisfactory in 3 (20%). In group B, excellent in 5 (33.3%) and satisfactory in 10 (66.6%). In Group A, 2 patients developed complications i.e., 1 patient had shoulder stiffness & 1 patient had supercial infection. In Group B, 6 patients developed complications i.e., 4 patients had shoulder stiffness only, 1 patient had supercial infection only and 1 patient had both shoulder stiffness and supercial infection. PHILOS plate provides excellent Conclusion: functional outcome with minimal complications for displaced proximal humerus fractures compared to percutaneous k wire xation