Determining Functional Outcomes Following Proximal Humerus Interlocking System (Philos) Plating in Displaced Proximal Humerus Fractures: A Comprehensive Evaluation

Abstract

Displaced fractures of the proximal humerus pose a significant challenge in orthopaedic practice, particularly in the aging population. The Proximal Humerus Interlocking System (PHILOS) plating has emerged as a promising surgical approach for managing these fractures. This study aims to evaluate the functional outcomes associated with PHILOS plating in displaced proximal humerus fractures.

The classification of fracture types was inconsistent and thus the selection of surgical approaches varied. Various surgical procedures have been performed, but the recent trend towards internal fixation has shifted to locking plates.

AIM AND OBJECTIVES

The current study is being conducted to evaluate the functional outcome and complications of displaced proximal humeral fractures treated with locking compression plates.

MATERIALS AND METHODS

The proposed study is prospective study cantered in VINAYKA MISSION’S KIRUPANANDA VARIYER MEDICAL COLLEGE AND HOSPITAL, SALEM, TAMILNADU during the term between November 2020 to November 2022 over period of 2 years.

 In the proposed study a minimum of 20 cases presenting with displaced proximal humerus fractures are evaluated clinically, radiologically and treated by ORIF with LOCKING COMPRESSION PLATES (PHILOS). functional outcomes were assessed with the use of NEER’S SHOULDER SCORE at the end of the study.

RESULTS

The study included 20 patients, with a predominance of males. Road traffic accidents (RTA) were identified as the most common cause of injury among young individuals, while falls at home were predominant among the elderly population. Fracture classification revealed a spectrum of injuries, including two-part, three-part, and four-part fractures of displaced Proximal humerus.