Functional outcome of proximal humerus fracture treated conservatively Vs PHILOS plate

Dr. R Neelakrishnan, Dr. S Saran Prasath, Dr. V Bharathiselvan, Dr. PS Balamurgavel, Dr. K Parasuraman, Dr. R Ravikrishna
2020 International Journal of Orthopaedics Sciences  
Aim and Objective: Fracture of the proximal humerus, part 2, 3 and 4 have been a challenge to achieve stable fixation .The goal is to achieve near anatomical reduction, preserve biology, stabilization and achieve early mobilization. PHILOS plate provide rigid fixation, more angular stability and good union rate. In this study we have assessed the functional outcome of patients who have undergone PHILOS plating for proximal humerus fracture vs the patient treated conservatively. Material and
more » ... od: Study was conducted in department of orthopaedics, Rajah Muthiah Medical College and Hospital. Total of 20 patient with fracture of proximal humerus was observed with 10 patient treated using PHILOS plate and 10 patient treated conservatively. Open reduction and internal fixation was performed in 10 patients and in 10 patient u-slab was applied. Result were assessed by constant and murley shoulder outcome score Result: The average follow up time was 6 months. Results were analysed in respect to union of fracture, range of motion of shoulder joint. The mean union time was 8 weeks. Conclusion: PHILOS plating is effective in treatment of proximal humerus fracture with high rate of bony union and early mobilization with excellent clinical and radiological outcome. Conservative Method Patient not willing for surgery and not fit for surgery was treated conservatively. Closed manual reduction was attempted and u-slab was applied. Check x-ray was obtained. Patient was kept on medication for pain and arm pouch was given. Patient was reviewed in interval of 1, 3 and 6 month. Clinical assessment was done in the form of pain, function and range of movements. Antero-posterior X-rays were performed for all the patients at each follow up to assess the fracture union. Case Study -2 Pre reduction Post reduction Clinical picture Criteria in order to evaluate functional outcome our study used constant and murley scoring system [1] . Subjective Parameters assessed are as follows:
doi:10.22271/ortho.2020.v6.i4g.2375 fatcat:bnhoj3tq4vbzddrdcgvcipibfu