Publication:

A prospective study on functional and radiological outcome of PHILOS plating for the management of proximal humerus fracture

Background Proximal humerus fracture is a common injury near the shoulder joint that poses a significant challenge in management due to its rising incidence and impact on functional recovery. Therefore, the purpose of this study was to evaluate the functional and radiological outcomes of PHILOS plating in the surgical management of proximal humerus fractures.

Methods This prospective observational study at the Department of Orthopaedic Surgery, BMU, Shahbag, Dhaka and New Life Hospital Limited, Green Road, Dhaka (March 2021–September 2023) included 30 patients with proximal humerus fractures who underwent PHILOS plating. Functional (VAS, Constant Murley Score) and radiological outcomes were assessed at 1, 3, 6 and 12 months. Data were analyzed using SPSS v26 (p<0.05).

Results In 30 patients treated with PHILOS plating, mean age was 49.1±9.7 years, 53.3% were male and 56.7% had 3-part fractures. Mean union time was 9.57±1.89 weeks. At 6 months, mean flexion was 152.1°±16.7, abduction 156.2°±18.8, internal rotation 67.1°±7.7 and external rotation 73.3°±7.8. VAS improved from 8.33±0.80 to 1.10±0.63 (p<0.001). Mean Constant Murley Score was 84.8±7.0 (excellent 43.3%, good 53.3%, moderate 3.3%). Complications occurred in 13.3% and 86.7% reported satisfactory outcomes.

Conclusions PHILOS plating provides effective functional recovery, satisfactory pain relief and low complication rates in the management of proximal humerus fractures.