Proximal humeral fractures

Review Article- Functional Results after Plating the Proximal Humeral Internal Locking System for Displaced Fractures

Complications with using plates and screws to fix proximal humeral fractures include the possibility of the screws coming out
of osteoporotic bone, subacromial impingement, and avascular necrosis of the humeral head as a result of severe periosteal
stripping. Revealed that using T-buttress plates to treat proximal humeral fractures resulted in a significant incidence of fixation
failure. About 87% of patients who had three- and four-part fractures treated with T-buttress plates saw good intermediate- and
long-term results. The patients in their study were 48 years old on average. Recently, more modern implants have been utilized
to treat proximal humeral fractures, such the proximal humeral internal locking system (PHILOS) plate, Polaris nail, and plan
tan humerus fixator plate. PHILOS plate treatment for proximal humerus fractures results in a favorable functional outcome.
The number of fracture pieces and the timing of the procedure had no bearing on the outcomes.

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Original Article- Does Proximal Humeral Nailing or Proximal Humerus Internal Locking System Plating Better for Proximal Humeral Fractures?

Background: Proximal humeral nailing (PHN) and proximal humerus internal locking system (PHILOS) plate fixation for
the proximal humeral fractures offer good anatomic fracture reduction and stable primary fixation to ensure rapid fracture
healing and immediate post-operative functional therapy without prolonged immobilization. We aimed to assess the
fracture union and the functional outcome of proximal humerus fractures using proximal humeral nail and PHILOS plate.
Materials and Methods: A comparative prospective study was conducted from October 2016 to October 2019 with 53
consecutively reported proximal humeral fractures with 26 cases for PHN group and 27 cases for PHILOS group. The follow-up
period was 24 months. Results: According to Neer’s criteria, out of 26 cases in the PHN group, seven cases (26.9%) had
excellent, 12 cases (46.1%) had satisfactory, five case (19.2%) had unsatisfactory, and two cases (7.6%) had failure outcome,
whereas out of 27 cases in the PHILOS group, six cases (22.2%) had excellent, 17 cases (62.9%) had satisfactory, two cases
(7.4%) had unsatisfactory, and two cases (7.4%) had failure outcome. There was no significant difference (P > 0.05) between
the two groups. Conclusion: Both the treatment options are effective in treating the proximal fractures and there was no
significant difference between functional outcome between the two groups at 2 years follow-up.

Original Article- Does Proximal Humeral Nailing or Proximal Humerus Internal Locking System Plating Better for Proximal Humeral Fractures? Read More »