2018, Vol. 2 Issue 4, Part A
Proximal humeral fractures are the second most common fractures of the upper extremity accounting for 4% to 5% of all fractures. The treatment of proximal humeral fractures is divided into non-operative and operative methods. The non-operative method gives good results in stable and minimally displaced fractures. Displaced humeral neck fractures used to be managed conservatively in the past, but these were complicated by loss of reduction, malunion, non-union, stiffness and ultimately poor functional outcome.
Aims and objectives: Our study aimed to evaluate the clinical, functional and radiological result of displaced proximal humeral fractures managed by open reduction and internal fixation with Proximal Humerus Internal Locking System (PHILOS) Plating.
Materials and Method: 30 patients with displaced proximal humeral fractures that were treated by PHILOS plating between Jun 2016 to Jun 2018 were included in this study. All cases were managed by open reduction and internal fixation using PHILOS plate. The Constant Scoring System was used to evaluate the outcome of this procedure.
Result: Out of 30 patients in this study 17 were male and 13 were female. The mean age was 55 years (range 20-75 years). The mean surgical time was 90 min (range 75-140 min). The mean fracture union time was 11 weeks (range 10-20 weeks).The mean constant score was 76 (Range 50-100).The constant score was excellent in 17 cases (57%), Good in 8 (27 %), Fair in 3 (10%), Poor in 2 (6 %) cases.
Conclusion: PHILOS plating is a safe and a reproducible option for managing displaced proximal humeral neck fractures. It gives a high rate of union, good functional outcome, is less time consuming and has minimal complications.