Perspectives In Medical Research (Dec 2017)
Outcome of (PHILOS) plate osteosynthesis in the management of 3-part and 4-part proximal Humerus fractures in adults
Abstract
Background: Even though the proximal humerus fracture are second most common fractures in upper extremity after distal radius treatment of these displaced 3-part & 4-part fractures is still challenging because of comminution. This study attempts to analyse the functional outcome of 3-part & 4-part proximal humerus fractures with PHILOS plate and throws a light on prognostic factors for a favourable outcome. Materials & Methods: This is a prospective study of 30 patients with neels 3-part & 4-part fractures which were surgically treated with PHILOS plating during 2011 to 2015. Evaluation of patients was done on the basis of radiological union and functional assessment using Constant-Murley shoulder score. Results: The mean age of the patient is 42.5 years (range 18-65) with 70% male preponderance. The mean follow up is 12 months (range 8-16 months). The mean Constant-Murley shoulder score of 81 and mean loss of CCD angle of 4° at the last follow up. Favourable factor influencing the out come are young age, good bone stock, intact medial metaphyseal cortical continuity with inferior locking calcar screw with zero avascular necrosis of head of humerus. Conclusion: Osteosynthesis with PHILOS plate in 3-part & 4-part fractures with surgical skills gives good functional outcome with low complication rate, patient age, bone stock,medial metaphy seal cortical continuity prognosticate the outcome
