To determine the functional outcome of Philos plate fixation in patients with proximal Humerus fracture.
Abstract
The Functional Outcome of Philos Plate Fixation in Patients with Proximal Humerus Fracture
Objective: To determine the functional outcome of Philos plate fixation in patients with proximal Humerus fracture.
Methodology: A prospective observational study was conducted at the Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi as well as Neurospinal and Medical Institute (NMI), Karachi between June 2016, and January 2021. Post-operative patients with proximal humerus fracture treated with Philos plate fixation were enrolled. Detailed history and physical examination were recorded. Patients were followed up to 12 weeks to determine functional outcome. Constant-Murley Score was used to assess the functional outcome as either satisfactory or unsatisfactory.
Results: A total of 304 patients were recruited in the study with a mean age of 51.42+7.939 years (range; 30-60). 216 (71.05%) patients who were managed with Philos plate for the management of fracture of the proximal humerus had satisfactory outcomes while only about 88 (28.95%) patients had unsatisfactory outcomes. 54 (17.76%) patients with an unsatisfactory outcome were older than 45 years. Body Mass Index was not significantly associated with patient outcome. However, delay in presentation of more than three days was significantly associated with unsatisfactory outcome in patients as 82 out of 90 patients with delay > 3 days had unsatisfactory outcome at the end of the study (p=0.0002)
Conclusion: We reported that philos plate fixation provided adequate stability and overall, a good functional outcome. Further large-scale studies should be conducted to ascertain our findings and assess the long-term complications.
Key words: Philos plate fixation, Proximal humerus fracture, Constant-Murley Score
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