Functional Outcome Of Proximal Humerus Fracture With Philos Plating
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Fractures of the proximal humerus represent approximately 4% of all fractures and 26% of humerus fractures. Three and four-part fractures of Neer's Classificaton (13-16% of proximal humerus fractures) have been a challenge to achieve stable fixation. Difficulties have been multifactorial, including osteoporotic bone, angular instability, implant impingement, loss of reduction and backing out of screws. Aim: The aim of the study is to provide a pain free shoulder and restoration of activities of daily living as early as possible in patients with proximal humerus fracture. Materials & Methods: In a prospective study, 22 patients with proximal humeral fractures were treated with the Locking Proximal Humerus Plate from July 2014- Dec 2015.All patients were evaluated with radiographs in anteroposterior,lateral & axillary views and 3DCT scan. Most of these fractures were closed except one which was open with relative frequency of 2 parts fractures-4; 3 parts fractures - 8 & 4parts fractures - 10, according to the Neer's classification. All fractures were treated surgically with proximal humerus locking plate. Follow ups included radiographs, clinical examinations, and recording Constant scores. Results: After 18 months of follow up, the average Constant score for all fractures was 67.28 (2parts-75; 3 parts 66.71; 4 parts - 60.14). Complications like deep infection (6.6%) was associated with open fracture, loss of reduction of fracture (6.6%) in one patient & osteonecrosis (6.6%) in one patient. There were no non-unions and implant breakage. Conclusion: Our data shows that using the Proximal Humerus interlocking system Plate for treatment of proximal humeral fractures of all types is a reliable procedure, with good results being obtained with careful planning and familiarity with the special features of the operative technique.
Authors and Affiliations
P Kosala Raman, P Balamurugan, s Marimuthu, R Ragavnandanam
Keywords
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