Analysis of Functional Outcome of Proximal Humerus Fractures Managed with Philos Plate

Abstract

Proximal humerus fractures constitute approximately 7% of all fractures and around 80% of humeral fractures. They are the second most common fracture of the upper extremity in patients over 65 years and the third most common osteoporotic fracture in the elderly. This type of fracture shows a bimodal age distribution, affecting young patients following road traffic accidents (RTA) and elderly patients following accidental falls on an outstretched hand. Among the elderly, post-menopausal women are particularly at risk due to osteoporosis (1, 2).

Non-displaced or minimally displaced fractures are typically managed conservatively, aiming for a functionally acceptable range of motion and functional exercises. Displaced fractures, however, often require surgical intervention to achieve good anatomical reduction, stable fixation, and early mobilization. Various surgical techniques are employed to treat displaced proximal humerus fractures, including transcutaneous suture fixation, percutaneous pinning, locking compression plates, intramedullary interlocking nailing, and hemiarthroplasty. Despite the range of techniques available, none consistently yield high success rates (3, 4).