Outcome of (PHILOS) plate osteosynthesis in the management of 3-part and 4-part proximal Humerus fractures in adults
Background: Even though the proximal humerus fracture are second most common fractures in upper extremity after distal radius treatment of these displaced 3-part & 4-part fractures is still challenging because of comminution. This study attempts to analyse the functional outcome of 3-part &a...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2017-12-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/ravikanth_vol5-issue3-2017.PDF |
| Summary: | Background: Even though the proximal humerus
fracture are second most common fractures in upper extremity
after distal radius treatment of these displaced 3-part & 4-part
fractures is still challenging because of comminution. This study
attempts to analyse the functional outcome of 3-part & 4-part
proximal humerus fractures with PHILOS plate and throws a
light on prognostic factors for a favourable outcome.
Materials & Methods: This is a prospective study of 30
patients with neels 3-part & 4-part fractures which were
surgically treated with PHILOS plating during 2011 to 2015.
Evaluation of patients was done on the basis of radiological
union and functional assessment using Constant-Murley
shoulder score.
Results: The mean age of the patient is 42.5 years (range
18-65) with 70% male preponderance. The mean follow up is
12 months (range 8-16 months). The mean Constant-Murley
shoulder score of 81 and mean loss of CCD angle of 4° at the
last follow up. Favourable factor influencing the out come are
young age, good bone stock, intact medial metaphyseal cortical
continuity with inferior locking calcar screw with zero avascular
necrosis of head of humerus.
Conclusion: Osteosynthesis with PHILOS plate in 3-part
& 4-part fractures with surgical skills gives good functional
outcome with low complication rate, patient age, bone
stock,medial metaphy seal cortical continuity prognosticate the
outcome |
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| ISSN: | 2348-1447 2348-229X |