Affiliation:
1. Dept of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal (Assistant Professor)
2. Dept of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal (Senior Resident)
3. Dept of Orthopaedics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal (Professor)
Abstract
Introduction Treatment of proximal humerus fractures always holds a dilemma for the treating surgeon. Many treatment options are available for
its management. This retrospective review of records aimed to assess the functional outcome of proximal humerus fractures treated with Proximal
Humerus Internal Locking System (PHILOS) plating. Fifty-three consecutive patie Material and Methods nts were treated with PHILOS plating
between August 2019 to August 2021. Adults 18-65 years with displaced closed fracture proximal humerus (displacement >1 cm and varus
angulation of >45) who underwent xation with PHILOS plate were included in this study. Severely comminuted fractures, open fractures and
valgus impacted fractures were excluded from the study. Patients with additional injuries to ipsilateral limb and other systems were also excluded.
Neer's scoring system was recorded for visit at 3,6 and 12 weeks The average Results age was 54.3±5.8 years. As per the Neers classication
system, there were 6 (11.32%) 1-part, 19 (35.85%) 2-part, 17 (32.085) and 11 (20.75%) 3 and 4-part fracture respectively. Average surgical
duration was 94±10.2 minutes. Radiological union was seen at 12±4.6 weeks. There were 2 (3.77%) cases of varus collapse. Three (5.66%) cases
had screw back out, which was later revised and had a favorable outcome. As per the Neer's scoring system, 7 (13.21%) cases had excellent results,
37 (69.81%) had satisfactory, 6 (11.32%) had unsatisfactory while 3 (05.66%) cases had poor outcomes. PHILOS plating has a good Conclusion
functional outcome. However, proper patient selection, thorough knowledge of the anatomy and biomechanical principles are the pre-requisites for
a successful surgery.
Subject
Paleontology,Aquatic Science,Oceanography,Linguistics and Language,Language and Linguistics,Industrial and Manufacturing Engineering,Polymers and Plastics,Materials Science (miscellaneous),Communication,Cultural Studies,Electrical and Electronic Engineering,Signal Processing,Electronic, Optical and Magnetic Materials,Biotechnology,Electrical and Electronic Engineering,Instrumentation,Industrial and Manufacturing Engineering,Safety, Risk, Reliability and Quality,General Chemical Engineering,Electrical and Electronic Engineering,Atomic and Molecular Physics, and Optics,Electrical and Electronic Engineering,Industrial and Manufacturing Engineering
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