Outcome of PHILOS Plate Application in Type III and Type IV Proximal Humeral Fracture: Tertiary Level Hospital in Bangladesh

Abstract

Background: More over 10% of all fractures in people over the age of 70 are in the proximal humerus, making it the third most commonly non-vertebral osteoporotic fracture behind proximal femur and collies' fractures. Many different methods of treatment, including closed reduction with percutaneous K-wire fixation, open reduction with subsequent fixation using Transosseous sutures, tension band wire, T plate, locking plates and screws, intramedullary nails, and prosthetic replacement, have been documented. Objective: The aim of our study was to functionally evaluate the Proximal Humerus Type II and type IV Fracture treated with PHILOS plate with early joint mobilization. To achieve maximum functional activity at shoulder joint. Material and Methods: This prospective study was conducted in the department of orthopedic surgery, Rajshahi Medical College, Bangladesh with Matricentred base Study from January June 2020 to July 2022. A total (n=176) cases of proximal humerus fracture treated by PHILLOS plate. Results: In our study of 179 cases, Male patients predominated female patients 100 (56%) males to 79 (44%) females, and the average age of patients is 39 years with the range being 25–65 years. Road traffic accident and fall from height were the commonest cause of the trauma 71 (39.66%). Neer classification system was used to classify the fractures. During the follow–up functional parameters were assessed using Constant-Murley scoring system. The study shows 60 (33.52%) excellent, 51 (28.49%) good, 24 (13.41%) satisfactory, Adequate 28 (15.64%) and 13 (7.26%) poor results on Constant Murley Score. The most common complications surgical site infection 3 (1.68%). Conclusion: A proximal humerus fracture can be stabilized with the use of a PHILOS plate.