Philos Plate in Proximal Humerus Fracture–Its Functional Outcome and Complications

Bansal, Vivek; Sohal, Harminder Singh; Bhoparai, R.S

doi:10.17554/j.issn.2311-5106.2015.02.63

Cited by 7 publications

(15 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the study by Kumar GK et al, [12], at the final follow-up the mean Constant-Murley score was 79 (range 50-100) and the results were excellent in 25 patients, good in 13 patients, fair in 6 patients and poor in 5 patient. Out of 30 cases, excellent result in 7 cases, Good in16 cases Satisfactory in 5 cases and Poor in 2 cases were reported by Sreen S et al, [13] and outcomes were excellent in 16%, good in 44%, fair in 16% while poor in 24% in the study done by Bansal V et al, [15].…”

Section: Discussionmentioning

confidence: 78%

“…of patients in this study was 44.0333 ± 11.2449 years, range (21-65 years. The average age incidence was 54.3±5.8 years in the study done by Doshi C et al, [11] and 38 years (range 24-68) in the study done by Kumar GK et al, [12] 58 years(range 22-78) in the study done by Sreen S et al, [13] 49.24 years in the study done by Bansal V et al, [15].…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Evaluation of Functional Outcome Following Open Reduction and Internal Fixation of Proximal Humerus Fractures Using Philos Plate: A Prospective Study

Gupta¹,

Rani²,

Vivek³

et al. 2020

SAJB

View full text Add to dashboard Cite

Original Research Article Proximal humeral fractures are the second most common fractures of the upper extremity and 20% of them require surgical fixation either because they needs better shoulder mobility or because their fracture is more severe. PHILOS plate promises to provide good fixation and stability. This prospective study aims to evaluate the functional outcome in the subjects following surgery. After obtaining due ethical clearance, a prospective study was conducted from January 2017 to September 2018. Thirty patients were selected. Fracture was classified using NEER'S Classification. All the fractures were approached by Delto pectoral approach and fixation done under fluoroscopic guidance. Patients were followed up at 6 weeks, 3, 6 and 12 months with radiographical evaluation and clinical examination and outcome. All patients at their final assessment underwent radiological and functional evaluation using the CONSTANT score. Based on NEER'S classification, 8patients (26.7%) had 2 part fracture, 12patients (40.0%) had 3 part fracture and 10patients (33.3%) had 4 part fracture. 1 patient had delayed union, 1 patient had non union, 2 patients developed stiffness of shoulder, 1 patient had a superficial infection and 1 patient had varus malunion. We assessed the final functional outcome with CONSTANT-MURLEY score and found that 7(20.0%) patients had excellent, 11(36.7%) patients had good, 7(23.3%) patients had moderate and 5(16.7%) patients had poor outcome. The mean constant score (mean± s.d.) of patients was 70.1000± 13.0816. Surgical management of fracture proximal humerus with PHILOS plating has a good functional outcome. However, proper patient selection, thorough knowledge of the anatomy and biomechanical principles are the prerequisites for a successful surgery.

show abstract

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 95%

Evaluation of Functional Outcome Following Open Reduction and Internal Fixation of Proximal Humerus Fractures Using Philos Plate: A Prospective Study

Gupta¹,

Rani²,

Vivek³

et al. 2020

SAJB

View full text Add to dashboard Cite

show abstract

“…In the present study, 20% of cases had excellent functional outcome, 30% cases had good functional outcome, 35% of cases had fair functional outcome and 15% cases had poor functional outcome (Table 3). A study by Vivek Bansal et al found excellent outcome in 16% cases, good outcome in 44% cases, fair in 16% cases and poor outcome in 24% cases [9]. The functional outcome was excellent in 15 cases, good in 7 cases, fair in 5 cases and poor in 4 cases [10] .…”

Section: Resultsmentioning

confidence: 94%

“…[8] . A study by Vivek Bansal et al included 25 cases with acute proximal humerus fractures to assess the functional outcome in these cases managed with PHILOS plate noticed a mean constant score after 6 months follow up was 57.4 and the constant score was poor in cases with 4 part fractures [9] . A study by Goutam Kumar Satpathy and Dillip Kumar Chand recruited 31 cases with proximal humerus fractures managed with PHILOS plate noticed a mean constant murley score at the final follow up was 81 (range 57-100) [10] .…”

Section: Methodsmentioning

confidence: 99%

Efficacy of the PHILOS plate in the management and functional outcome of proximal humerus fractures: A prospective study

Patil¹

2021

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Proximal humerus fractures management is a challenging task for orthopaedic surgeons due to the high incidence of postoperative complication. PHILOS plate is the recent advancement in locking plate fixation for proximal humerus fractures which provides angular stability and compression that lead to a speedy recovery. The present study was designed to assess the efficacy of the PHILOS plate in the management of displaced fractures to the proximal humerus. A total of 40 cases with displaced proximal humerus fractures admitted in the Department of Orthopedics were recruited. Patients were undergoing Open reduction internal fixation with PHILOS locking plating for the sustained fracture under general anaesthesia. Postoperative follow up appointments were conducted at the end of 2 weeks, 6 weeks, 3 months, 6 months and 12 months. Road traffic accidents were the commonest mode of injury in 72.5% of cases, followed by falling injuries from height (20%) and injuries by falling and slipping (7.5%). The mean constant-murley score was 66.25. The functional outcome was excellent in 20% cases, good in 30% cases, fair in 35% cases and poor in 15% cases. No severe postoperative complications observed. The proximal humerus locking plate is a good treatment option for 2, 3 and 4 part of NEER's fractures with good functional outcome, good stable fixation with minimal postoperative complications.

show abstract

“…Some risk factors of complications suggested by the authors include a non-anatomical reduction, medial cortical bone deficit, fixation using a short locking screw at the humeral head, and inappropriate fixation of the greater tuberosity. Bansal et al 14) reported the functional outcomes, in terms of the Constant score, and the postoperative complications after internal fixation using LCPs for proximal humeral fractures in 25 patients. At the 6-month follow-up, the average Constant score was 57.4, showing a generally favorable outcome in patients ("excellent" in 4 patients [16%]; "good" in 11 patients [44%]; "fair" in 4 patients [16%]; and "poor" in 6 patients [24%]).…”

Section: A B Cmentioning

confidence: 99%

Internal Fixation with a Locking T-Plate for Proximal Humeral Fractures in Patients Aged 65 Years and Older

Yum

Seong²,

Hong³

2017

Clin Shoulder Elbow

View full text Add to dashboard Cite

BACKGROUND: The purpose of this study was to evaluate the clinical and radiographic outcomes of internal fixation with locking T-plates for osteoporotic fractures of the proximal humerus in patients aged 65 years and older.METHODS: From January 2007 through to December 2015, we recruited 47 patients aged 65 years and older with osteoporotic fractures of the proximal humerus. All fractures had been treated using open reduction and internal fixation with a locking T-plate. We classified the fractures in accordance to the Neer classification system; At the final follow-up, the indicators of clinical outcome-the range of motion of the shoulder (flexion, internal rotation, and external rotation) and the presence of postoperative complications-and the indicators of radiographic outcome-the time-to-union and the neck-shaft angle of the proximal humerus-were evaluated. The Paavolainen method was used to grade the level of radiological outcome in the patients.RESULTS: The mean flexion was 155.0° (range, 90°?180°), the mean internal rotation was T8 (range, T6?L2), and the mean external rotation was 66.8° (range, 30°?80°). Postoperative complications, such as plate impingement, screw loosening, and varus malunion were observed in five patient. We found that all patients achieved bone union, and the mean time-to-union was 13.5 weeks of the treatment. The mean neck-shaft angle was 131.4° at the 6-month follow-up. According to the Paavolainen method, “good” and “fair” radiographic results each accounted for 38 and 9 of the total patients, respectively.CONCLUSIONS: We concluded that locking T-plate fixation leads to satisfactory clinical and radiological outcomes in elderly patients with proximal humeral fractures by providing a larger surface area of contact with the fracture and a more rigid fixation.

show abstract

Philos Plate in Proximal Humerus Fracture–Its Functional Outcome and Complications

Cited by 7 publications

References 21 publications

Evaluation of Functional Outcome Following Open Reduction and Internal Fixation of Proximal Humerus Fractures Using Philos Plate: A Prospective Study

Evaluation of Functional Outcome Following Open Reduction and Internal Fixation of Proximal Humerus Fractures Using Philos Plate: A Prospective Study

Efficacy of the PHILOS plate in the management and functional outcome of proximal humerus fractures: A prospective study

Internal Fixation with a Locking T-Plate for Proximal Humeral Fractures in Patients Aged 65 Years and Older

Contact Info

Product

Resources

About