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January 1, 2017IOSR Journal of Dental and Medical SciencesOpen Access

Outcome Analysis of Locking Plate Fixation in Proximal Humerus Fractures

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Authors

VTV ThirunarayananDRDhurvas Ramlal RamprasathRARupa Kumari Amarnath

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Overview

Prospective study reveals superior functional recovery with PHILOS plates in proximal humerus fractures, indicating advantages of specific implant designs.

Key Points

  • To evaluate the functional outcomes of locking plate fixation in displaced proximal humerus fractures based on patient age, fracture pattern, and specific implant design.
  • Conducted a prospective study of 41 patients with 2-, 3-, and 4-part proximal humerus fractures categorized by Neer's classification.
  • Performed surgical fixation through a deltopectoral approach using either the Proximal Humerus Internal Locking System (PHILOS) or Locking Proximal Humerus Plate (LPHP).
  • Evaluated functional shoulder outcomes at 3, 6, and 9 months postoperatively using the Constant score and analyzed results with Student's t-test.
  • Younger patient age and less comminuted fracture patterns were associated with significantly better functional outcomes on the Constant score.
  • PHILOS plate fixation demonstrated a slight functional advantage over LPHP fixation, attributed to differences in implant design (quantitative values not reported).

Cite This Study

Thirunarayanan et al. (2017) studied this question.

synapsesocial.com/papers/6a8be250f71b672e3df4a18bhttps://doi.org/10.9790/0853-16010597103
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional outcome of proximal humerus locking plate in displaced proximal humerus fractures- A prospective study2024
  2. 2Clinical and Functional Outcomes of Proximal Humerus Internal Locking System Plate Fixation in Proximal Humerus Fractures: A Short-term Follow-up2025
  3. 3Functional Outcome of Surgical Management of Comminuted Proximal Fractures of Humerus Treated with Proximal Humerus Internal Locking System (Philos) Plate2022
  4. 4Assessment of Clinical and Functional Outcomes of the Proximal Humerus Internal Locking Compression Plate in Different Neer’s Types of Proximal Humeral Fracture: A Prospective Observational Study2024
  5. 5Assessment of Functional Outcome and Postoperative Complications in Proximal Humerus Fracture Patients Managed With Proximal Humerus Internal Locking System (PHILOS) Plating2024 · 3 citations