Abstract

A proximal humeral fracture is the fracture of the ball portion, lying at the upper end of the humerus, or arm bone. These are one of the commonest fractures encountered by orthopaedic surgeons. Some studies suggest that the locking plate (PHILOS) provides good fracture stability and allows early mobilization of the shoulder without compromising fracture union. Use of PHILOS plate as a surgical option in the management of proximal humerus fracture has been recommended. Methodology- The study was conducted on patients presenting with proximal humerus fractures admitted to Basaveshwar Teaching and General Hospital, Kalaburagi for a period of 18 months.30 patients fulfilling the inclusion and exclusion criteria were considered for this study. All patients were operated using standard deltopectoral approach. Post op functional outcome was assessed by using Neer’s scoring system. Results- Majority were right handed persons and the dominant arm was involved in 22(73.34%) patients and 8(26.66%) were left handed patient. Neer’s 2-part fracture is the most common type in 60% patients. Greater Tuberosity fractures were the predominant type in 2-part fracture.4 part fractures accounted for only 10% of patients. 18(60%) patients did not have any pain during follow-up. No cases of implant loosening or failure were encountered. Conclusion- Displaced proximal humeral fractures when treated surgically produce greater range of movements (ROM), less pain and less stiffness. Results are best when operative method results in stable fixation that allows early passive mobilization.

Description