A Clinical Study To Compare Functional Outcome Of Proximal Humerus Fracture In Adults (18- 80yrs) Treated By Philos Platting And Conservative Modalities

  • Divyesh Jetpariya Senior Resident
  • Baiju Patel Senior Resident
  • Parth Patel
  • Harsh Patel Senior Resident
Keywords: Proximal Humerus, Philos Plate, Shoulder Stiffness

Abstract

Introduction: It is the commonest fracture affecting the shoulder girdle in adults[1].Proximal humeral fractures account for almost 7% of all fractures and make up 80% of all humeral fractures. The purpose of this study is to carryout to enlighten functional outcome fracture proximal humerus treated with conservative and PHILOS platting and comparison of that.

Material And Method: Twenty six patients were attended in the Department Of Orthopaedics, during period of May 2018 to August 2020 and involved in this study prospectively out of which 11 were male and 15 were female. They were analysed clinically and radiologically using Constant And Murleyshoulder scoring criteria. Out of 26 cases 12 were treated conservatively and 14 were treated by orif.

Result: Out of 12 patients treated conservatively 3 had excellent, 7 had good and 2 had fair functional outcome whereas 14 patient treated by open reduction and internal fixation 2 had excellent, 4 had good, 4 had fair and 4 had poor functional outcome. Complications were seen in 9 patients. Out of that 5 patients had shoulder stiffness, 3 had malunion and 1 had impingement of implant.

 

Conclusion: Proximal humerus fracture occurred most commonly in 4th to 6th decade of life. For minimally displace fracture treatment of choice is non operative. For 2 part fracture treated with conservative modalities shown slightly better results than operated patients but for 3 part fracture operated patients had slight better results than conservative.

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How to Cite
Jetpariya, D., Patel, B., Patel, P., & Patel, H. (2022). A Clinical Study To Compare Functional Outcome Of Proximal Humerus Fracture In Adults (18- 80yrs) Treated By Philos Platting And Conservative Modalities. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 7(5), 108-115. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/245
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Original Article