Evaluation of Clinical and Radiological Outcome of Fracture Proximal Humerus by Locking Compression Plate Taking into Consideration of Biomechanics of the Glenohumeral Joint
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Introduction: Although several studies have repeatedly emphasized that PHILOS plating gives better functional outcomes for fracture proximal humerus and that many studies have speculated and concluded various risk factors for failure or poor functional outcomes, none of them gives a clear idea about the important parameters of the biomechanics of the glenohumeral joint and their restoration, while fixation with the PHILOS plate. Our aim of study is to assess and weigh the functional outcomes when PHILOS plating is done for fracture proximal humerus taking into consideration biomechanics of the glenohumeral joint. Material and Methods: This was an open label prospective study of 30 patients of proximal humerus fracture who were treated with with PHILOS plate in SRN Hospital From Sept 2013 to June 2015. Cases were taken up according to inclusion and exclusion criteria. All the patients were managed by open reduction and internal fixation by PHILOS plate and all patients underwent a rehabilitation program. The patients were examined clinically and radiologically, assessed for range of motion and bony union and complication. Further follow ups were done at 6 weeks,12 weeks, 24 weeks,36 weeks and 1 year. Results: All the patients were followed up for atleast for 12 months (range 12 to 20 months) with the mean follow up time was 16.5 months. All the fractures united clinically and radiologically around an average of 8 weeks (range7-11weeks). Constant scores were excellent to good in 21 patients (70%), fair in 5 patients (16.66%), poor in 4 patients (13.33%). Conclusion: Management of proximal humerus fractures with PHILOS plate gives the most satisfactory functional outcome when fixation is done taking into account following parameters: Corrected neck-shaft angle, maintenance of retroversion of the humeral head and acromio-humeral head distance.
Authors and Affiliations
D C Srivastava D C Srivastava, Sachin Yadav, Alok Gupta
Keywords
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