Arindam Chatterjee1 , Anurag Singh2 , Pulin Bihari Das3
BACKGROUND Proximal humerus fractures are one of the commonest fractures of upper limb encountered by trauma surgeons. Their varied geometry and associated comorbidities make them difficult to treat. PHILOS plate has revolutionized management of these fractures. Careful application and adhering to principles can give magical results in these fractures. We wanted to evaluate functional outcomes of proximal humerus fractures using PHILOS Plate. METHODS This study was done from July 2018 to January 2020 in a tertiary care trauma center. 58 proximal humerus fractures were operated. The results were evaluated using Constant Murley Score and Visual Analogue Scale. RESULTS Majority of patients had an excellent or good outcome on Constant Murley Score. The Visual Analogue Scores were better for two-part and three-part fractures than the four-part fractures for first 18 months after which they were somewhat similar. We also encountered complications in six patients. CONCLUSIONS PHILOS can be considered as an excellent modality for managing proximal humerus fractures.
