Comparison of Functional Outcome of Proximal Humerus Management with K-Wire versus PHILOS Plate

Abstract

Background: Background: Proximal humerus fractures account for approximately 4% of all fractures and 26% of humeral fractures. While conservative treatment is often recommended, surgical management remains debated, particularly with the use of percutaneous pinning and PHILOS plating.Objective: To compare the functional outcomes of proximal humerus fractures managed with percutaneous pinning versus PHILOS plating using Constant and Murley’s score.Methods: This prospective, randomized controlled trial was conducted at Services Hospital, Lahore, over 18 months. A total of 128 patients were randomized into two groups: Group A (Percutaneous Pinning, n=64) and Group B (PHILOS Plating, n=64). Demographic data were recorded, and functional outcomes were assessed using Constant and Murley’s score at the 24th week. Data analysis was performed using SPSS 25, with independent t-tests and chi-square tests applied, considering p<0.05 significant.Results: The mean Constant and Murley score were 84.58 ± 8.561 in Group A and 86.48 ± 7.622 in Group B (p=0.186). Favorable outcomes were seen in 34.4% (n=44) in Group A and 42.2% (n=54) in Group B (p=0.037).Conclusion: PHILOS plating proved a higher rate of favorable outcomes compared to percutaneous pinning, suggesting its preferable use for proximal humerus fracture management.