TY  - JOUR
T1  - Comparative Study of Functional Outcomes Between Philos Plate Fixation and Closed Reduction with Per Cutaneous K‐Wire Fixation in Displaced Proximal Humerus Fractures
AU - Zubair, A. AU - Rohin, G. AU - Mathew, K.C. AU - Raj, G. AU - Mohamed, Zakir AU - Annamalai, T.T. 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 11
SP  - 630
EP  - 634
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.11.630.634
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.11.630.634
KW  - Proximal humerus fracture
KW  - philos plate
KW  - k‐wire fixation
KW  - open reduction
KW  - per cutaneous fixation
KW  - constant‐murley score
KW  - shoulder function
KW  - internal fixation techniques
AB  - <p style="text-align:justify">Displaced fractures of the proximal humerus are common in elderly patients and present a treatment challenge due to variable bone quality, fracture pattern and functional demands. Open reduction with locking plate fixation and closed reduction with per cutaneous K‐wire fixation are two commonly employed surgical modalities, each with distinct biomechanical and clinical implications. To compare the clinical and functional outcomes of open reduction and internal fixation using Philos plate versus closed reduction and per cutaneous K‐wire fixation in the management of displaced proximal humerus fractures. This prospective comparative study included 60 patients with displaced proximal humerus fractures, allocated into two groups of 30 each. One group underwent open reduction and internal fixation using Philos plates, while the other was treated with closed reduction and per cutaneous fixation using K‐wires. Clinical and functional outcomes were assessed using the Constant‐Murley Shoulder Score and radiographic parameters at regular follow‐up intervals. At the final follow‐up, patients treated with Philos plate fixation demonstrated significantly higher Constant scores compared to the K‐wire group, indicating better functional outcomes. The Philos group also showed superior fracture stability and alignment radiographically. However, the minimally invasive group had reduced operative time, less blood loss and fewer soft tissue complications. Complication rates were comparable between the two techniques. Both Philos plate fixation and closed K‐wire fixation are effective in managing displaced proximal humerus fractures. Philos fixation provides better functional recovery and radiological outcomes, whereas per cutaneous fixation offers the advantages of reduced surgical morbidity. Treatment should be individualized based on fracture pattern, patient comorbidities, and functional requirements.</p>

ER  -