Treatment of Proximal Humerus Fractures using PHILOS Plate
Introduction: Treatment of proximal humerus fractures always holds a dilemma for the treating surgeon. Aim: To assess the functional outcome of proximal humerus fractures treated with Proximal Humerus Internal Locking System (PHILOS) plating. Material and Methods: Fifty three consecutive patien...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10304/26782_CE[Ra]_F(Sh)_PF1(SY_KM_GG)_PFA(SY_SS).pdf |
| _version_ | 1819111219817086976 |
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| author | Chintan Doshi Gaurav Mahesh Sharma Lokesh Gudda Naik Krishna Sudhakar Badgire Faisal Qureshi |
| author_facet | Chintan Doshi Gaurav Mahesh Sharma Lokesh Gudda Naik Krishna Sudhakar Badgire Faisal Qureshi |
| author_sort | Chintan Doshi |
| collection | DOAJ |
| description | Introduction: Treatment of proximal humerus fractures always
holds a dilemma for the treating surgeon.
Aim: To assess the functional outcome of proximal humerus
fractures treated with Proximal Humerus Internal Locking
System (PHILOS) plating.
Material and Methods: Fifty three consecutive patients were
treated with PHILOS plating between August 2013 and August
2014. The inclusion criteria were skeletally matured patients with
closed fracture proximal humerus with displacement >1 cm and
varus angulation of >450
. Severely comminuted fractures, open
fractures and valgus impacted fractures were excluded from
the study. The outcome was assessed using Neer's scoring
system.
Results: The average age was 54.3±5.8 years. As per the Neers
classification system, there were 6 (11.32%) 1-part, 19 (35.85%)
2-part, 17 (32.085) and 11 (20.75%) 3 and 4-part fracture
respectively. Average surgical duration was 94±10.2 minutes.
Radiological union was seen at 12±4.6 weeks. There were 2
(3.77%) cases of varus collapse. Three (5.66%) cases had
screw back out, which was later revised and had a favourable
outcome. As per the Neer's scoring system, 7 (13.21%) cases
had excellent results, 37 (69.81%) had satisfactory, 6 (11.32%)
had unsatisfactory while 3 (05.66%) cases had poor outcomes.
Conclusion: PHILOS plating has a good functional outcome.
However, proper patient selection, thorough knowledge of the
anatomy and biomechanical principles are the pre-requisites for
a successful surgery. |
| first_indexed | 2024-12-22T03:54:09Z |
| format | Article |
| id | doaj.art-495126082f5040a38107b18e315e574b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T03:54:09Z |
| publishDate | 2017-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-495126082f5040a38107b18e315e574b2022-12-21T18:39:56ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-07-01117RC10RC1310.7860/JCDR/2017/26782.10304Treatment of Proximal Humerus Fractures using PHILOS PlateChintan Doshi0Gaurav Mahesh Sharma1Lokesh Gudda Naik2Krishna Sudhakar Badgire3Faisal Qureshi4Junior Consultant, Department of Orthopaedics, Sancheti Institute for orthopaedics and rehabilitation, Pune, Maharashtra, India.. Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India.Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India.Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India.Clinical Associate, Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India.Introduction: Treatment of proximal humerus fractures always holds a dilemma for the treating surgeon. Aim: To assess the functional outcome of proximal humerus fractures treated with Proximal Humerus Internal Locking System (PHILOS) plating. Material and Methods: Fifty three consecutive patients were treated with PHILOS plating between August 2013 and August 2014. The inclusion criteria were skeletally matured patients with closed fracture proximal humerus with displacement >1 cm and varus angulation of >450 . Severely comminuted fractures, open fractures and valgus impacted fractures were excluded from the study. The outcome was assessed using Neer's scoring system. Results: The average age was 54.3±5.8 years. As per the Neers classification system, there were 6 (11.32%) 1-part, 19 (35.85%) 2-part, 17 (32.085) and 11 (20.75%) 3 and 4-part fracture respectively. Average surgical duration was 94±10.2 minutes. Radiological union was seen at 12±4.6 weeks. There were 2 (3.77%) cases of varus collapse. Three (5.66%) cases had screw back out, which was later revised and had a favourable outcome. As per the Neer's scoring system, 7 (13.21%) cases had excellent results, 37 (69.81%) had satisfactory, 6 (11.32%) had unsatisfactory while 3 (05.66%) cases had poor outcomes. Conclusion: PHILOS plating has a good functional outcome. However, proper patient selection, thorough knowledge of the anatomy and biomechanical principles are the pre-requisites for a successful surgery.https://jcdr.net/articles/PDF/10304/26782_CE[Ra]_F(Sh)_PF1(SY_KM_GG)_PFA(SY_SS).pdffractures closedneer's scoring systemshoulder fractures |
| spellingShingle | Chintan Doshi Gaurav Mahesh Sharma Lokesh Gudda Naik Krishna Sudhakar Badgire Faisal Qureshi Treatment of Proximal Humerus Fractures using PHILOS Plate Journal of Clinical and Diagnostic Research fractures closed neer's scoring system shoulder fractures |
| title | Treatment of Proximal Humerus Fractures using PHILOS Plate |
| title_full | Treatment of Proximal Humerus Fractures using PHILOS Plate |
| title_fullStr | Treatment of Proximal Humerus Fractures using PHILOS Plate |
| title_full_unstemmed | Treatment of Proximal Humerus Fractures using PHILOS Plate |
| title_short | Treatment of Proximal Humerus Fractures using PHILOS Plate |
| title_sort | treatment of proximal humerus fractures using philos plate |
| topic | fractures closed neer's scoring system shoulder fractures |
| url | https://jcdr.net/articles/PDF/10304/26782_CE[Ra]_F(Sh)_PF1(SY_KM_GG)_PFA(SY_SS).pdf |
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