A Prospective Study to Evaluate the Effects of Performance on Patients with Proximal Humerus Fractures with a PHILOS Plate Fixation

Abstract

Background: The proximal humerus with poor cancellous bone quality especially in older patients, results in high risk of failure of fixation with conventional plating system. To achieve better and more productive results, AO / ASIF has developed a special locking pressure plate (PHILOS) for fractures of the proximal humerus. Materials& Methods: This is a prospective study, conducted at Government Medical College and affiliated groups in Hospitals, Barmer, Rajasthan in the Department of Orthopedics and 15 patients who were admitted with displaced fracture of Proximal Humerus. The age, gender of the patient, the nature of the injury, the severity of the injury, the associated injury, the time from the injury and their functional requirement are recorded. The classification was subdivided using NEER'S classification and was organized prior to operation according to it. Intra-operative events, difficulties and complications, radiological post examination and bony union were noted. Patients were followed for 2 weeks, 6 weeks, 6 months and 1year with radiographical examination and clinical examination and outcome. All patients at their final examination, were radiated radiology and function using CONSTANT scores. Results: The study contained a sample of 15 patients, of whom 5 were female and 10 were male. The age distribution varied from 18years to 70 years with an average age of 45.8 yrs. Out of the 15 patients followed up, 3 patients had excellent scores, 6 had good scores, 4 had moderate scores and 2 had poor outcome scores. Mean constant score for Neer two-part fracture was 77.9 (range 55-90), for Neer's three parts fracture was 71.3 (range 38- 92). Conclusion: We concluded that due to early range of motion exercise which is possible with stable fixation by PHILOS, these patients experience less stiffness of nearby joint and able to live a pain-free healthy life.