A study of functional outcome of displaced proximal humerus fracture treated with philos plating

Abstract

Background: Fracture of proximal humerus fracture represent approx 5% of all fractures and 26% of humerus fractures. The usual method of treatment was conservative in past and result and functional outcome were not good. Three and four part fracture of Neer's classification (13-16% of proximal humerus fractures) have been challenging to achieve stable fixation. With philos plating the functional outcome are known to be improved. Methods: A Study was conducted on 30 consecutive patients came to PGI Swasthiyog during period of May 2020 to May 2022. All fractures were fixed with proximal humerus locking plate and patient were followed up at regular intervals. All patients are evaluated using 1) Pain relief, 2) Mobility 3) Strength. Final assessment was done using Constant and Murley scoring system for functional outcome. Results: According to constant and murley shoulder scoring system out of 30 patients there were excellent outcome in 14 patients (46.66%), good in 10 patients (33.33%), fair in 5 patients (16.66%), poor outcome in 1 patients (3.33%). Conclusion: Fixation using proximal humerus locking plate gives better functional outcome in displaced proximal humerus fracture particularly in elderly and osteoporotic patients. The incidence of complication and subsequent resurgery is relatively low.