Internal Fixation of Displaced Proximal Humeral Fractures with Two One-Third Tubular Plates

Abstract

These results demonstrate the high stability of internal fixation with two one-third tubular plates that allowed early mobilization of the shoulder in all patients and emphasize this technique as a preferred treatment option for displaced fractures of the proximal humerus.

Evaluation of the Outcome of Proximal Humerus Fracture Managed By Internal Locking Plate- A Prospective Study

“…Various techniques have been used to stabilize fractures of the proximal part of the humerus, including intramedullary nails, plate-and-screw osteosynthesis, tension band wiring, percutaneous pin fixation, and hemiarthroplasty 17,18,19 .Successful outcomes after plate osteosynthesis of proximal humeral fractures have been reported 19,20,21 . Open reduction and internal fixation of proximal humeral fractures with non-locking plates and screws has been shown to provide the strongest fixation in non-osteoporotic bone 17 .…”

Surgical Treatment of Neer Group VI Proximal Humeral Fractures: Retrospective Comparison of PHILOS® and Hemiarthroplasty

“…Neer recommended open reduction and internal fixation (ORIF) for three-part fracture-dislocations and primary hemiarthroplasty (HA) for four-part fracturedislocations and for fractures with greater than 50% of cartilage-covered articular defect [24,25]. Angular stable implants have been developed for fractures of the proximal humerus [7,9,10,23,30]. With these implants, better biomechanical stability could be achieved [16].…”

Management of fracture upper end humerus with proximal humerus internal locking system

“…Techniques for treating complex proximal humeral fractures vary and include fixations using tension bands, percutaneous pins, bone suture, T-plates, intramedullary nails, double tubular plates, hemiarthroplasty, Polarus nails, blade plates. [3][4][5][6][7][8] 17 PHILOS (proximal humeral internal locking system) is a recently developed system of ORIF, featuring: anatomically contoured shape, non-parallel locking head screws, high rigidity, Locking and LCP combination holes. Thus, theoretically less chance of screw pullout/loosening, better purchase in the humeral head and less secondary loss of reduction.…”