FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURE TREATED WITH PROXIMAL HUMERUS INTERLOCKING SYSTEM (PHILOS PLATING) AT PRAVARA RURAL HOSPITAL, LONI”

Registration ID: IJNRD_227157

Published ID: IJNRD2408356

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Dr. Devesh Kumar , Dr. Ghorpade K.N

Fracture, Proximal Humerus, PHILOS Plate, Functional Outcome

Background: Proximal humerus fractures, accounting for approximately 5% of all fractures, pose a significant clinical challenge due to their complex anatomy and diverse fracture patterns. These fractures often result from high-energy trauma, such as falls or motor vehicle accidents, or low-energy trauma, predominantly in elderly individuals with osteoporosis. The management of these fractures requires careful consideration of various factors, including patient age, bone quality, fracture displacement, and associated injuries. Over the years, several surgical techniques and implants have been developed to achieve stable fixation and promote early mobilization and functional recovery. Out of various treatment choices available, the Proximal Humerus Interlocking System (PHILOS) plating has emerged as a favourable option for the management of fractures of proximal humerus. Introduced in the early 2000s, PHILOS represents a significant advancement in fracture fixation technology, offering biomechanically stable constructs while preserving the blood supply to the fractured segment. Objectives: 1. Determine the extent of functional improvement in patients treated with PHILOS plating for proximal humerus fractures 2. Investigate radiographic outcomes, including fracture union rates, implant positioning, and complications such as screw cutout or malunion etc 3. Identify potential predictors of treatment success, including patient demographics, fracture characteristics, and surgical factors etc Materials and methods: This descriptive, longitudinal type of study was conducted on 75 patients of procimal humerus fracture at Dept. of Orthopedics at Dr. Balasaheb Vikhe Patil Rural Medical College, PMT-PIMS (DU), Loni hospital for a period of 24 months. Interpretation and conclusion: • In present study most of the cases were observed having age from 41-50 years • In the present study, 58% patients were male. • In the present study, the most common type of fracture observed was NEERtype 2 fracture (35%) • Through rigorous evaluation using the Constant Murley scoring system and comprehensive follow-up assessments, we have demonstrated significant improvements in shoulder function and mobility over time. • The low complication rates and high patient satisfaction further validate the success of this treatment approach. • 36 patients out of 75 patients showed excellent results, 24 patients had good results and 10 patients had fair results. • These findings support the continued use of PHILOS plating as a reliable and efficacious method for managing proximal humerus fractures, contributing to enhanced patient care and improved quality of life.

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Dr. Devesh Kumar & Dr. Ghorpade K.N (August-2024). FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURE TREATED WITH PROXIMAL HUMERUS INTERLOCKING SYSTEM (PHILOS PLATING) AT PRAVARA RURAL HOSPITAL, LONI”. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(8), d499-d503. https://ijnrd.org/papers/IJNRD2408356.pdf

Volume 9 Issue 8, August-2024

Pages : d499-d503

Paper Reg. ID: IJNRD_227157

Published Paper Id: IJNRD2408356

Research Area: Health Science 

Author Type: Indian Author

Country: Ahmednagar, Maharashtra, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2408356.pdf

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