Mini ReviewOpen Access

Analysis of PHILOS Plating for Displaced Proximal Humeral Fractures

Volume 2 - Issue 1

Pandurangaiah Srinivas*

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- Assistant Professor, Department of Orthopaedics, Sri Devaraj Urs Medical College, India
*Corresponding author: Pandurangaiah Srinivas, Assistant Professor, Department of Orthopaedics, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka, India, No.1919, South End ‘C’ Cross road, 28^th Main road, 9th Block, Jayanagar, Bangalore, Karnataka state, India

Received: December 15, 2017; Published: January 04, 2018

DOI: 10.26717/BJSTR.2018.02.000627

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Abstract

Fractures of proximal humerus are still unsolved fractures. Fixation techniques are plenty and none is ideal for all cases [1]. These fractures can be displaced, unstable and may have disruption of the blood supply. The treatment of these fractures is therefore a therapeutic challenge [2]. The majority of patients with this fracture are elderly, hence osteoporotic or brittle. Treatment options include transosseous suture fixation, tension band wiring, percutaneous wire, screw fixation, standard plate, precontoured locking plate, PHILOS plate and hemireplacementarthroplasty. The Proximal humeral internal locking system (PHILOS) plate fixation provides greater angular stability than do conventional implants. It works as a locked internal fixator and provides better anchorage of screws in osteoporotic bone [3,4] with good functional outcomes [5,6]. In proximal humerus fractures, PHILOS plate offers a good functional outcome in context to the early joint mobilisation and rigid fixation of the fracture [7]. Considering these advantages and the scarcity of data on the efficacy and the functional outcome following PHILOS plate for displaced proximal humerus fractures, the present study was planned.