Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures

Charalambous, Charalambos Panayiotou; Siddique, Irfan; Valluripalli, K.; Kovačević, Miljenko; Panose, Praveen; Srinivasan, M.; Marynissen, Hans

doi:10.1007/s00402-006-0256-9

Cited by 97 publications

(95 citation statements)

References 16 publications

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“…In previous studies focused on LPHP and PHILOS fixation of complex fractures, reported complications included avascular necrosis, loss of reduction, plate breakage, and pseudarthrosis/nonunion [6,10,17]. We observed 79 local complications in 60 of 211 patients during the 1-year followup; 35 intraoperative complications were directly related to the initial surgical procedure.…”

Section: Discussionmentioning

confidence: 71%

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Konrad¹,

Audigé

Lambert

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

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Background There is a lack of consensus regarding optimal surgical management of displaced and unstable three-part proximal humeral fractures. Questions/purposes The objective of this prospective observational study was to compare the clinical and radiologic outcomes of plate versus nail fixation of threepart proximal humeral fractures. Patients and Methods Two hundred eleven patients with unstable three-part proximal humeral fractures were treated with ORIF using plate (PHILOS [proximal humeral interlocking system]/LPHP [locking proximal humerus plate]) or nail (PHN [proximal humeral nail]) osteosynthesis. Outcome measurements included pain, Constant and Murley and Neer scores, and the occurrence of complications at 3, 6, and 12 months postsurgery. Regression analysis and the likelihood ratio test were used to evaluate differences between the cohorts.

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Section: Discussionmentioning

confidence: 71%

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Konrad¹,

Audigé

Lambert

et al. 2012

Clinical Orthopaedics &Amp; Related Research

110

View full text Add to dashboard Cite

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“…Keeping in mind the various possible advantage of proximal humerus locking plate. [1,4,8,14,16,29,32,33,37,38,42] In the present study, the average age was lower because a sizeable number of the patients (8 patients) sustained a high energy trauma in road traffic accident. It is pertinent to mention that younger age group is more likely to be outgoing and exposed to road traffic accident as compared to older age group.…”

Section: Section: Orthopaedicsmentioning

confidence: 52%

“…To achieve this goal, a variety of implants of internal fixation have been employed with variable success.Implants can range from percutaneous k-wiring conventional plates such as T plate , [9,36,39,44] blade plate one third tubular plate43,circlage or tension band wiring using a stainless steel wire, [26,38,24] helix wiring, [35] externalfixator, [28,30] intramedullary nail, [14,20,23,24,25,27,41] locking plate, [1,4,8,14,16,29,32,33,37,38,42] to hemiarthoplasty. [19] The best treatment for displaced proximal humerus fracture remains controversial and the discussion about ideal implant for such cases still continues.…”

Section: Section: Orthopaedicsmentioning

confidence: 99%

Philos Plating in Displaced Surgical Neck of Humerus Fracture

Sharma¹,

Dhingra²,

Sharma³

2017

Ann. Int. Med. Den.Res.

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Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries and elevates the risk of bleeding.

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“…Inclusion criteria included all patients 18 years of age or older with a displaced fracture or fracture-dislocation of the proximal humerus as defined by previously defined criteria [2,5,8,13,14,25,26]. We excluded patients with preexisting nerve deficits before their current proximal humerus fracture.…”

Section: Methodsmentioning

confidence: 99%

Nerve Monitoring During Proximal Humeral Fracture Fixation: What Have We Learned?

Warrender

Oppenheimer

Abboud

2011

Clinical Orthopaedics &Amp; Related Research

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Background The incidence of neurologic injury after proximal humerus fractures is variable, ranging from 6.2% to as much as 67%. However, it is unclear what factors might contribute to these injuries or whether they can be prevented by intraoperative nerve monitoring. Questions/purposes Therefore, using intraoperative nerve monitoring, we assessed the incidence, pattern of nerve involvement, and predisposing factors for nerve injury before and during shoulder fracture fixation. Patients and Methods We used continuous intraoperative monitoring of the brachial plexus in 37 patients undergoing open operative treatment of proximal humerus fractures. Impending intraoperative compromise of nerve function was signaled by sustained neurotonic EMG activity or greater than 50% amplitude attenuation of transcranial electrical motor evoked potentials (MEPs) (or both). When a nerve alert occurred, current surgical activity and arm and retractor position were recorded and adjustments were made to relieve tension.

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Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures

Abstract: Our results suggest that PHILOS is an effective system for providing fracture stabilisation to bony union but awareness of potential hardware complications is essential.

Cited by 97 publications

References 16 publications

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Philos Plating in Displaced Surgical Neck of Humerus Fracture

Nerve Monitoring During Proximal Humeral Fracture Fixation: What Have We Learned?

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