A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF DISPLACED FRACTURE OF PROXIMAL HUMERUS MANAGED WITH DIFFERENT SURGICAL MODALITIES
DOI:
https://doi.org/10.48047/y3ex1r91Abstract
Introduction:
Proximal humerus fractures account for 4–5% of all fractures and are commonly treated using various surgical
methods. The PHILOS plate, developed by AO-ASIF, offers angular stability and enhanced fixation, promoting
early mobilization and improved outcomes. This study evaluates the functional outcomes of different surgical
interventions for displaced proximal humerus fractures.
Materials and Methods:
A prospective study was conducted on 30 patients at Vinayaka Mission Kirupananda Variyar Medical College
and Hospital, Salem, over 24 months. Ethical clearance was obtained prior to the study.
Results:
Most patients were males (80%) aged 56–60 years (30%), with no prior proximal humerus injuries (73.33%).
According to Neer’s classification, 63.33% were class III fractures. Neer’s shoulder score at follow-up was
excellent in 73.33% of cases. Union was achieved in 73.33% of patients within 10–12 weeks, with a mean union
time of 12.3 ± 0.4 weeks. Mean Constant-Murley scores showed progressive improvement: 75.81 at 1 month,
81.95 at 3 months, 91.12 at 6 months, and 98.23 at 1 year. Complications included infection (13.33%), malunion
(6.66%), and implant failure (3.33%). Most patients stayed in the hospital for over 5 days (93.33%), and reported
high satisfaction (86.66%), return to work (73.33%), and preserved range of motion (76.66%).
Conclusion:
Surgical management of proximal humerus fractures—particularly using stable fixation methods like PHILOS
plate , yields excellent functional recovery, high union rates, and low complication rates, supporting early
rehabilitation and return to daily activities
Keywords
PHILOS, Proximal humerus fractures, Clinical outcome, multiple k- wires, intramedullary nailing and shoulder
hemiarthroplaty.
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