Abstract Issue

Volume 14 Issue 5 (May) 2025

Original Articles

Outcome of proximal humerus fracture treated with philos plating using deltopectoral approach
Dr. Sargam Prakash, Dr. Dhruv Lashkare, Dr. A.V.N. Sai Harsha, Dr. Sachin Samaiya

Background and Purpose: Proximal humerus fractures are the second most common fractures of the upper extremity after distal radius fracture. Proximal humeral fractures are increasingly common in aging population and are primarily linked to osteoporosis. Most of the undisplaced proximal humeral fractures can be managed with shoulder immobilizer and physical therapy. However, about 20% of displaced proximal humeral fractures require surgical intervention. Conservative treatment often leads to complications such as malunion, nonunion resulting in dysfunctional shoulder mobility. Keeping in mind the functional demand and early mobilization of the patient, surgical intervention is a better option in selective patients. Here, in our study we assess the functional and radiological outcome of the proximal humerus fracture fixed with PHILOS plate using classical Deltopectoral approach. Methods and materials: All the patients with proximal humerus fracture were treated with open reduction and internal fixation with PHILOS plate using classical Deltopectoral approach. A total number of 20 patients who were skeletally mature had the proximal humerus fracture were selected for the study. Neer’s scoring system and DASH scoring system were used to assess the outcome. Conclusion: PHILOS plating using classical Deltopectoral approach gives a satisfactory functional outcome. On follow up Neer’s score and DASH score were significantly increased allowing early mobilization and to perform Activity of Daily Living smoothly. However, proper selection of the patient, proper surgical technique and knowledge of thorough anatomy are pre-requisites for a successful surgery.

 
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