Philos Plate: Its Complications and Functional Outcome
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Aim: Locking plates are being used presently for the fixation of two, three, and four part proximal humerus fractures. The objective of this prospective study was to evaluate functional outcome and complications of proximal humeral fractures managed with proximal humerus internal locking system (PHILOS). Methods: 8 men and 9 women aged 19 to 82 (mean 49.24) with an acute proximal humerus fracture were treated with PHILOS plate. Outcome was measured based on constant score, complications, and radiographic assessment. Results: 7 patients had 2-part fractures, 7 patients had 3-part fractures, and 3 patients had 4-part fractures. After 6 month follow up, a mean Constant score 57.4 was achieved. Outcomes were excellent in 16%, good in 44%, fair in 16% while poor in 24%. The Constant score was poorer for Neer type IV fractures as compared to other types. The most frequently occurring complications in our patients were malreduction 29.4%, screw perforation 23.5%, infection 11.7%, avascular necrosis 5.8% and impingement 5.8%. Conclusion: Locking plate for proximal humerus fractures has satisfactory functional outcomes in 2-part and 3-part fracture. The incidence of complications and subsequent re-operation is relatively high. Advanced surgical skills and surgeon’s experience are considered for successful outcome.
Authors and Affiliations
Jairam Jagiasi, Amit Joshi, Ashish Gupta
Keywords
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- EP ID EP544836
- DOI 10.21276/ijmrp.2017.3.2.070
- Views 71
- Downloads 0
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