@article{MAKHILLRJMS2024181131662, title = {A Study of Proximal Humerus Fractures Treated with Philos Plate (30 Cases)}, journal = {Research Journal of Medical Sciences}, volume = {18}, number = {11}, pages = {591-598}, year = {2024}, issn = {1815-9346}, doi = {makrjms.2024.11.591.598}, url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2024.11.591.598}, author = {Bharat,Niravkumar,Devansh and}, keywords = {Philos (proximal humerus internal locking system) plate, orif (open reduction internal fixation), proximal humerus fracture}, abstract = {
A study of functional outcome of proximal humerus fracture treated with PHILOS (Proximal Humerus Internal Locking System) Plate. A prospective study was conducted over a period of around 18 months. 30 patient within 4‐17 years with long bone fractures of lower limb fulfilling the selection criteria admitted in Department of Orthopaedics at tertiary health care hospital, Surat were operated using Enders Nailing. Proximal humerus fractures occur more commonly in elderly age group. Out of 30 cases, 25 were male and 5 were female. Most common means of injury seen was Fall followed by Road traffic accidents (RTA). Mean duration of union for two part fracture was 12 weeks, for three part fracture was 14 weeks and for four part fracture 15 weeks. Mild pain in activity was seen in (VAS <2 or=2) 27 patients. Discomfort in ordinary activity was seen in (VAS 2‐4) 3 patients. Pain limiting routine activity was not found in (VAS 5 or more) any patient. Only 3 cases had minor complications of which one superficial infection, two stiffness. No major complications were noted in any patients. Based on our experience and results, we concluded that the locking compression plate offers both mechanical and biological advantages in treating proximal humeral fractures, particularly in cases of comminuted fractures or osteoporosis bones in elderly patients. This implant facilitates early mobilization, contributing to improved recovery outcomes.
} }