Outcome of PHILOS Plating in Proximal Humerus Fractures
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2016, Vol 28, Issue 03
Abstract
To study results of PHILOS plating in fractures of proximal humerus. Methods: The Study was conducted from first July 2011 till 31st may 2015. Twenty-nine patients having fractures of the proximal humerus were initially included in the study except pathological fractures and fractures in immature skeleton. Two patients had incomplete follow up; only 27 patients had completed one year follow up in our outpatient department. All patients were operated using PHILOS plate for internal fixation. All patients were followed at 2, 6, 12(weeks), 6(months) and 1year. Oxford score and DASH) Score (Disability of arm, shoulder and hand) was used for Clinical outcome. Serial x rays were used for radiological outcome. Results: Two out of 29 patient were lost to follow up, hence 27 patients were followed for one year. There were 15 male and 12 female patients whose mechanism of injury in 14 patients was road traffic accident and 13 patients gave history of fall. All patients had radiological unions at 12 weeks except one patient who got infected. Male patients achieved better outcome as compared to female with an average of Oxford score 30.2 (range 50-13) and an average DASH score 27.4 (Range 0 to 56.2) compared to 32.1(range 13t o 59) and 34 range (0 to 89.2), All the three complication that occurred were in female patient group. Seven patients had 2-part fracture, 11 had 3 part and 9 had 4 part fractures. The 3 and 4 part fracture was more common in elderly patient above 60year age. Conclusion: PHILOS plating in fractures of proximal humerus has the best results particularly in the osteoporotic bones.
Authors and Affiliations
Awal Hakeem, Sanaullah, Syed Hamad Ali Shah Banori,Israr Ahmed, Mohammad Arif Khan
Keywords
Related Articles
- EP ID EP742473
- DOI -
- Views 28
- Downloads 0
Short Term Outcome of Fixation of Isolated Avulsion Fractures of Posterior Cruciate Ligament; Case Series
Objective: To evaluate the outcome of isolated posterior cruciate ligament avulsion injuries after open reduction and screw fixation in our setup. Methods: This was a prospective observational cross sectional study co...
Augmented Repair of Massive Rotator cuff tear with Tensor Fascia Lata Autograft.
Objective: To determine the functional outcome of massive rotator cuff tear treated with tensor fascia lata autograft. Methods: This descriptive study was conducted in Hand and Upper limb surgery Center CMH Lahore Med...
Comparison of Effectiveness Between Hydraulic Distension and Manipulation Under Anaesthesia Amongst Patients of Frozen Shoulder
Objective: To compare the results of hydraulic distention (HD) and manipulation under anesthesia (MUA) intervention in patients with frozen shoulder (FS). Methods: The study was conducted in department of orthopedics,...
An Audit of Implant Failure in Orthopedic Surgery
To determine the causes of orthopedic implants failure, which is being used in our setup for fixation of different fractures. Materials and Methods: The study was conducted at Orthopedic and Spine surgery unit of Haya...
Frequency of Different Bacteria and their Antibiotics Sensitivity Pattern in Chronic Osteomyelitis
Objective: To determine the frequency of different bacteria and their antibiotic sensitivity patterns in patients presenting with chronic Osteomyelitis. Methods: This descriptive study was conducted in Orthopedics and...