Volume 17 | Issue 3 | July – September 2022 | Page 17-21 | Archan Desai, Madhav Khadilkar, Anuranjan Singh, Amit Mahaja
Authors: Archan Desai , Madhav Khadilkar , Anuranjan Singh , Amit Mahajan 
 Bharati Hospital, Dhankawadi, Pune, 411043
Address of Correspondence
Dr. Archan Desai,
B35a Atlantis Villas, Near Preet Bungalows, Chhani canal Road, Chhani, Vadodara, Gujarat 391740
Introduction: Proximal humerus fractures account for 7% of all fractures. In patients above 65 years of age proximal humerus fractures are second most frequent upper extremity fracture. There are various modalities to treat this fracture. This study is aimed at evaluating the functional outcome at the end of 6 months after PHILOS plating for proximal humerus fractures.
Aim: To determine the short-term (6 months) functional outcomes of proximal humerus fractures treated with Proximal Humerus InterLocking System (PHILOS plating).
Materials and Methods: This study is an observational, prospective, hospital-based study undertaken in Department of Orthopaedics in a teaching institution of a tertiary hospital in Pune during a period of 18 months from October 2018 to April 2020. Overall, 31 patients were enrolled for the study with a mean age of 54.41 years.
Results: The Mean Constant score in our study was 67.23 (range 45-94.8 points) which falls under the moderate category. Out of the 31 patients, 5 patients had excellent score, 7 had good score, 11 had moderate score and 7 had poor outcome score and 1 patient was lost to follow up. The mean complication rate was 25.6% and stiffness was found to be the most common complication.
Conclusion: The PHILOS plate is an ideal construct and a stable implant to use for fractures of the proximal humerus in Neer’s 2-part, 3-part, and 4-part and in proximal humerus fractures of elderly patients hence allowing early mobilization of the shoulder.
Keywords: PHILOS, Proximal Humerus, Plating, Shoulder
1. Neer CS. Displaced Proximal Humeral Fractures. I Classification and Evaluation. J Bone Joint Surg Am. 1970;52(6):1077–1089.
2. Nho SJ, Brophy RH, Barker JU, Cornell CN, Mac Gillivray JD (2007) Management of proximal humeral fractures based on current literature. J Bone Joint Surg Am suppl (3): 44-58.
3. Jaberg H, Warner JJ, Jakob RP (1992) Percutaneous stabilization of unstable fractures of the humerus. J Bone Joint Surg Am 74(4): 508-515.
4. Flatow EL, Cuomo F, Maday MG, Miller SR, Mc Ilveen SJ, et al. (1991) Open reduction and internal fixation of two-part displaced fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg Am 73(8): 1213-1218.
5.Szyszkowitz R, Seggl W, Schleifer P, et al. (1993) Proximal humeral fractures. Management techniques and expected results. Clin Orthop; (292):13– 25.
6. Kuechle R, Hofmann A, Hessmann M, Rommens PM. [The cloverleaf plate for osteosythesis of humeral head fractures: Definition of the current position.] (German). Unfallchirurg 2006; 109: 1017-1024.
7. Kettler M, Biberthaler P, Braunstein V, Zeiler C, Kroetz M, Mutschler W. [Treatment of proximal humeral fractures with the PHILOS angular stable plate : Presentation of 225 cases of dislocated fractures.] (German). Unfallchirurg 2006; 109: 1032-1040.
8. Lill H, Hepp P, Rose T, König K, Josten C. [The angle stable lockingproximal-humerus-plate (LPHP) for proximal humeral fractures using a small anterior-lateraldeltoid- splitting-approach – technique and first results.] (German). Zentralbl Chir 2004; 129: 43-48.
9. Kollig E, Kutscha-Lissberg F, Roetman B, Dielenschneider D, Muhr G. [Complex fractures of the humeral head : which long-term results can be expected ?] (German). Zentralbl Chir 2003; 128 : 111-118.
10. Wijgman AJ, Roolker W, Patt TW, Raaymakers EL, Marti RK. Open reduction and internal fixation of threeand four-part fractures of the proximal part of the humerus. J Bone Joint Surg 2002 ; 84-A : 1919-1925.
11. Hessmann MH, Sternstein W, Krummenauer F, Hofmann A, Rommens PM. [Internal fixation of proximal humerus fractures.] (German). Chirurg 2004 ; 75 : 167-174.
12. Fankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop 2005 ; 430 : 176-181.
13. Esser RD. Treatment of three and four part fractures of the proximal humerus with a modified cloverleaf plate. J Orthop Trauma. 1994, 788-91.
14. Koukakis A, Apostolou CD, Taneja T, Korres DS, Amini A. Fixation of proximal humerus fractures using the PHILOS plate: early experience. Clin Orthop Relat Res. 2006; 442:115-20.
15. Egol KA, Ong CC, Walsh M, Jazrawi LM, Tejwani NC, Zuckerman JD. Early complication of proximal humerus fractures treated with locked plates, J orthop trauma. 2008; 22:159-64.
16. Yang H, Li Z, Zhou F, Wang D, Zhong B. A prospective clinical study of proximal humerus fractures treated with a locking proximal humerus plate. J Orthop Trauma 2011;25:11–7.
17. Aggarwal S, Bali K, Dhillon MS, Kumar V, Mootha AK. Displaced proximal humeral fractures: an Indian experience with locking plates. J Orthop Surg Res. 2010;5:60.
|How to Cite this article: Desai A, Khadilkar M, Singh A, Mahajan A. Short term functional outcomes of proximal humerus fractures treated with philos plating. Journal of Trauma and Orthopaedic Surgery July-Sep 2022;17(3): 17-21.|