A study of functional and radiological outcome of complex fracutre dislocation of proximal humerus treated with proximal humeral internal locking system (Philos) plate

Abstract

Fracture dislocations of the proximal humerus are extremely rare and have poor functional and radiological outcome regardless of many available surgical interventions. There has been a wide variation in optimum modality of treatment of proximal humerus fractures ranging from conservative treatment, open reduction and internal fixation to total and reverse shoulder arthroplasty. We have evaluated the outcome of efficacy of proximal humeral internal locking system (PHILOS) plate in complex fracture dislocation of the proximal humerus. A total of 20 patients with fracture dislocation of proximal humerus were included in the study after careful inclusion and exclusion criteria. All fracture dislocations were fixed with proximal humeral internal locking system (PHILOS) plate and patients were followed up at regular intervals. Final evaluation was done based on Neer's scoring system. Open reduction and internal fixation of proximal humeral fracture dislocation with the PHILOS plate was associated with good functional and radiological outcomes provided the correct surgical technique was used.