Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring in Proximal Humerus Fractures

Abstract

Background: Proximal humerus fractures constitute about 4-5% of all fractures. The present study was conducted to assess functional outcome and compare results of k wire fixation and PHILOS plating in proximal humerus fracture. Methods: The present study was follow-up in nature conducted upon patients with proximal humerus fracture. Patients were divided into two groups. Group 1 included 20 patients who were treated with closed reduction and percutaneous K-wire fixation. Group 2 included another 20 patients who were treated with ORIF with PHILOS plate. All these 40 patients were followed up for mean duration of twelve months. Results: Mean age was 36.4 ± 4.3 years. 65% of them were males. Mean Constant-Murley score was 79.5 points in Group 1 and 77.3 pointsin Group 2 at 12 months follow up. Least scores were seen in 4 part fractures. Conclusions: Proximal humerus interlocking system (PHILOS) gives better results than K-wires fixation for proximal humerus fractures type III and type IV (Neer’s).