TO ASSESS OUTCOME OF PROXIMAL HUMERUS INTERLOCKING OSTEOSYNTHESIS PLATING FOR TREATMENT OF PROXIMAL HUMERUS FRACTURES

Abstract

Background & Method: Patients with proximal humerus fracture treated with PHILOS plate in Department of Orthopaedics, Amaltas Institute of Medical Sciences, Dewas, M.P. Total of 25 Patients were included and shifted to the ward after initial temporary immobilization with universal shoulder immobilizer or POP U slab. All routine investigations were done with complete medical and anaesthetic fitness for surgery.  All patients were treated by open reduction and internal fixation by PHILOS plating.

Result: Age variation in series was from 18 to 70 years. Proximal humerus Fracture was found to have high incidence in 51 to 70 years age group. 25 patients, treated by PHILOS plating most common complication was varus malunion and least common complication was implant failure.

Conclusion: Practical Outcome is better and prior in Younger Patients. In spite of the fact that result is additionally acceptable in older. Age and break setup assume a critical part in the clinical result of these cracks after inward obsession. Complexities might be identified with unseemly careful method or break calculation. Those identified with careful strategy are preventable and incorporate inappropriate crack decrease, screw position, ill-advised plate situation prompting impingement, inordinate delicate tissue depriving of the break pieces inclining to avascular rot and periodic neurovascular injury.

Keywords: fractures, humerus, PHILOS & plating.