Analysis of #PHILOS Plating for Displaced P#roximal Humeral Fractures by Pandurangaiah Srinivas in BJSTR
Abstract
Fractures of proximal humerus are still unsolved fractures.
Fixation techniques are plenty and none is ideal for all cases [1].
These fractures can be displaced, unstable and may have disruption
of the blood supply. The treatment of these fractures is therefore a
therapeutic challenge [2]. The majority of patients with this fracture
are elderly, hence osteoporotic or brittle. Treatment options include
transosseous suture fixation, tension band wiring, percutaneous
wire, screw fixation, standard plate, precontoured locking plate,
PHILOS plate and hemireplacementarthroplasty. The Proximal
humeral internal locking system (PHILOS) plate fixation provides
greater angular stability than do conventional implants. It works as
a locked internal fixator and provides better anchorage of screws
in osteoporotic bone [3,4] with good functional outcomes [5,6]. In
proximal humerus fractures, PHILOS plate offers a good functional
outcome in context to the early joint mobilisation and rigid fixation
of the fracture [7]. Considering these advantages and the scarcity of
data on the efficacy and the functional outcome following PHILOS
plate for displaced proximal humerus fractures, the present study
was planned.
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