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Article Details

Research Article
Volume 2, Issue 2 (November Issue)

Surgical Management of Fracture of Proximal Humerus by Philos Plate and Screws: A Case Study

Gema Munoz Sanchez and Ismael Aunon-Martin*

Trauma and Orthopedic Surgery Service, Hospital, Madrid, Spain

*Corresponding author: Ismael Aunon-Martin, Trauma and Orthopedic Surgery Service, Hospital 12 Octubre, Madrid, Spain. E-mail: trauma@ismaelaunon.ac.es

Received: March 20, 2023; Accepted: March 30, 2023; Published: May 05, 2023

Citation: Sanchez GM, Aunon-Martin I. Surgical Management of Fracture of Proximal Humerus by Philos Plate and Screws: A Case Study. Case Rep Orthop Surg J. 2023; 2(2): 116.

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Abstract

Background: Proximal humerus fracture accounts for about 5% of all fractures in recent advances proximal humerus fractures are often managed operatively with PHILOS plate which provides greater angular stability and study was aimed at to assess functional outcome of PHILOS plate fixation in proximal humerus fractures.

Results: CM scoring and DASH scoring was applied to analyze the functional outcome among the cases. Most of the patients had excellent outcome (52%) followed by good (26%), fair (8%) and poor (15%) outcome according to CM scoring and according to DASH scoring 20.21 was mean score and mean CM score was 77.62. Complications observed were impingement in 1 patient, avascular necrosis in 2 patient and non-union in 1 case.

Conclusions: We conclude that the use of PHILOS plate for the fixation of proximal humerus fractures is a good device as it provides rigid fixation and early mobilisation and prevented complications. Precontoured locking plates work on the principle of angular stability, divergent screws, less disruption of vascularity and less chances of plate failure.

Keywords: Proximal humerus; PHILOS plate; Constant and murley score; DASH score