Outcome of proximal humeral fracture fixation with K wires Vs Philos plating

Introduction-Proximal humerus fractures represent one of the most common fracture type in upper extremity. Aim-this study aimed to see outcome of proximal humeral fracture fixation with K wires vs PHILOS plating. Material and Method-A prospective study was conducted overthree years of a total of 50 patients with proximal humerus fracture. Patients were divided into two groups by randomized controlled trial .Group 1 included 25 patients who were treated with closed reduction and percutaneous k wire fixation. Group 2 included 25 patients who were treated with ORIF with PHILOS plate .All these 50 patients were followed up for mean duration of 12 months. Results-Mean neer score at final follow up was 80 in group 1 patients while it was 90 in group 2 patients As per the Neers scoring system ; 7 patients (28%) in group 1 had excellent results ,12 patients(48%)had satisfactory Results,2 patients( 8%) had unsatisfactory results while 4 patients (16%) had poor outcome For Group 2 ,as per Neers scoring system 12 patients (48%) had excellent results,9 patients (36%) had satisfactory results, 2 patients (8%) had unsatisfactory results while 2 patients (8%) had poor outcome. Conclusion-In conclusion it was found that Kwires fixation for proximal humerus fractures type III and type IV (Neer's) gives inferior results than proximal humerus interlocking system (PHILOS).