Background:The study was conducted to assess functional outcome and complications of Proximal Humerus Inter Locking System (PHILOS). Plating in displaced proximal humeral fractures by Constant-Murley (Subjective and Objective) score.
Materials and Methods:The study was conducted on 60 patients with displaced proximal humeral fractures operated with Proximal Humerus Inter Locking System. Among 60 patients 24 females, 36 males; mean age 50.64 years range (26-70yrs). All patients were put on same physiotherapy program following internal fixation with the PHILOS plate. The patients were assessed clinically and radio graphically at regular intervals of 6 weeks, 12 weeks and 6 months. Functional outcome was assessed using the Constant-Murley score. Complications during the follow-up period were recorded. Results: In our series of 30 patients 2-part fractures were more common accounting 60 % compared to 3part (20%) and 4-part (20%). Fractures united in all patients. The most frequent complication seen was shoulder stiffness in 6 patients. Excellent functional outcome seen in 18 (30%) cases, good 24 (40%) cases, fair 12(20%) cases, poor 6(10%) cases Conclusion: Fixation of proximal humerus fractures with proximal humerus locking plates is associated with satisfactory functional outcomes in 2-part and 3-part and 4 part fracture. The complications are high in four part fractures and old age. Good surgical skills and surgeon's experience are of utmost importance for successful operative treatment.
Background:The study was conducted to assess the functional outcome of hook plate for displaced lateral end clavicle fractures using Constant Murley score. Materials and Methods: This study include total of 15 cases with displaced lateral end clavicle fractures satisfying the inclusion criteria treated with hook plate. Patients were followed up at 1st month, 2nd month and 6th month, the functional outcome was assessed using Constant Murley score and the radiological outcome was also assessed Results: In our study, 15 cases treated with hook plate 26.7% of patients had excellent outcome and 73.3% had good outcome and postoperative shoulder impingement seen in 13% of patients Conclusion: Hook plate has a good functional outcome for lateral end clavicle fractures. Hook plate is an absolute indication for commenuted lateral end clavicle fractures. Hook plate has implant-related complications, hence implant removal should be advised.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.