Abstract

The aim of present study is to evaluate intraoperative technical difficulties during PHILOS Plating for treatment of displaced proximal humerus fractures. Proximal humerus fracture were attended in casualty and OPD and were admitted. After the patient with proximal humerus was admitted to the hospital, all history and clinical details were recorded in history sheet according to planned proforma. Radiographic evaluation was done and fractures were classified according to Neer’s classification. Result: 57% patients had two part fracture of proximal humerus which was the most common type in our study. Right side was involved in more patients. 34 patients had right side involved. In our patients, treated by PHILOS plating most common complication was varus malunion and least common complication was implant failure. Conclusion: Functional Outcome is better and earlier in Younger Patients. Although outcome is also good in elderly. Age and fracture configuration play a significant role in the clinical outcome of these fractures after internal fixation. Complications may be related to inappropriate surgical technique or fracture geometry. Those related to surgical technique are preventable and include improper fracture reduction, screw placement, improper plate placement leading to impingement, excessive soft tissue stripping of the fracture fragments predisposing to avascular necrosis and occasional neurovascular injury.

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