Short term functional outcomes of proximal humerus fractures treated with philos plating

Volume 17 | Issue 3 | July – September 2022 | Page 17-21 | Archan Desai, Madhav Khadilkar, Anuranjan Singh, Amit Mahaja

Authors: Archan Desai [1], Madhav Khadilkar [1], Anuranjan Singh [1], Amit Mahajan [1]

[1] 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


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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.

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