Long Term Results of PHILOS Plating and Percutaneous K-Wire Fixation in Proximal Humerus Fractures in The Elderly
Journal Title: Malaysian Orthopaedic Journal - Year 2014, Vol 8, Issue 1
Abstract
This is a report of a study on the long term results of PHILOS plating and percutaneous K-wire fixation in a prospective series of proximal humerus fractures in elderly patients. We reviewed a total of 60 patients with proximal humerus fractures in 30 patients (Group 1), who were treated by open reduction and internal fixation with Proximal Humeral Internal Locking System (PHILOS) plate and 30 patients (Group 2) who were treated with percutaneous K-wire fixation. Functional outcome was assessed using Visual Analogue Scale(VAS) and Constant-Murley Score. Mean Constant-Murley score was 84.6 points (range: 61- 100) in Group 1 and - 76.4 points(range:56-100) in Group 2 at final follow up. Values varied depending upon the fracture type with worst in 4-part fractures. Mean VAS Score was 2.6(range:0-10) in Group 1 and 3.8(range:0-10) in Group 2. We obtained satisfactory results in both the groups, with each procedure having its advantages and shortcomings. We found that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range-ofmotion exercises to achieve acceptable functional results. Fixation with percutaneous K-wires presented an efficient treatment option with the advantages of minimal invasiveness and soft tissue dissection.
Authors and Affiliations
GS Jaura, J Sikdar, S Singh
Keywords
Related Articles
- EP ID EP306651
- DOI 10.5704/MOJ.1403.010
- Views 102
- Downloads 0
The Role of Nerve Exploration in Supracondylar Humerus Fracture in Children with Nerve Injury
The supracondylar humerus fracture (SCHF) in children is common and can be complicated with nerve injury either primarily immediate post-trauma or secondarily posttreatment. The concept of neurapraxic nerve injury makes...
Genu Recurvatum Following Paediatric Femoral Diaphyseal - Fracture : Salter Type V Injury Revisit
A 17-year old boy with a history of a right femoral shaft fracture, fixed with a reamed intramedullary nail four years earlier, presented with a 15° genu recurvatum deformity, presumably due to premature closure of the a...
Staged Surgery for Severe Soft Tissue and Bone Loss of the Knee
A 20- year-old female student was involved in a motor vehicle accident. She sustained a severe friction injury to the left knee that resulted in considerable soft tissue and bone loss. There was also damage to the knee e...
Simultaneous Double Interphalangeal Joints Dislocation in a Finger in a Teenager
The English literature reports a mere handful of cases involving simultaneous dislocation of two joints in the same finger. To our knowledge, all cases reported to date have been in skeletally mature individuals. We repo...
Pilomatrixoma of Left Shoulder in an Elderly Female: A Case Report
We report a huge pilomatrixoma of the left shoulder in an elderly female, raising fear of malignancy. Magnetic Resonance Imaging delineated the swelling and wide surgical excision was performed. Post operative recovery w...