A study of functional outcome following proximal humeral internal locking system plating for displaced proximal humeral fractures

Abstract

Introduction: The proximal humerus fractures involve head, greater tuberosity, lesser tuberosity and proximal one-fourth of the shaft. It has been estimated that proximal humerus fractures account for nearly 4% of all the fractures and 26% of all the humerus factors. Aim: To study the effectiveness of PHILOS in anatomical reduction and stability of fixation of displaced proximal humeral fractures. Materials and Methods: It was a prospective study. All adult patients with fractures of proximal humerus who were admitted in Department of Orthopaedics of KVG Medical College and Hospital, Sullia, Karnataka were included for this study after informed written consent was obtained from them. The study period of the study was two years. The sample size was 25 for the scope of the study. Results: Majority of the patients had four-part fracture according to the NEER’s score. It was found that the overall performance of PHILOS was good on the basis of the follow-up done. The postoperative complications included perforation of screw. Co-morbidities like diabetes and RA were observed in the patients. Conclusion: It was seen that the management of proximal humerus fractures with proximal humerus locking plates is associated with satisfactory (moderate) functional outcomes. Postoperative rehabilitation and encouragement for physical therapy also play a role in better functional outcomes. Keywords: Proximal humeral, PHILOS, Internal locking system plating, Fractures.