DOI: 10.21276/sjams.2016.4.12.068

Pages: 4547-4553

Background: Proximal humerus fractures are commonly encountered fractures in general orthopaedic practices. Treatment should focus on maximizing a patient's functional outcome and minimizing pain. Various operative procedures are carried out, recent trend in internal fixation has moved on to locking plates which gives angular stability. Objective: The present study is undertaken to evaluate the functional outcome and complications of proximal humerus fractures treated by PHILOS locking plate. Methods: This prospective study was carried out at Department of Orthopaedic Surgery, BSMMU, Dhaka, Bangladesh from January 2015 to January 2016. Total 30 cases of fractures of proximal humerus were treated by open reduction and internal fixation with PHILOS locking plate and followed up. Patients were followed up in outpatient department at first, second, third and sixth months. Serial radiographs were taken for assessing complications and the functional outcomes were assessed using Constant and Murley score. Results: Total 30 cases of fractures of proximal humerus were treated by open reduction and internal fixation with PHILOS locking plate and followed up. In our study, male female incidence was equal with majority of patients sustaining fracture following road traffic accident. Average age of patients was 43±11.65 and most common fracture pattern observed in these patients were 3-part fracture (33.3%). 66% of the fractures united within three months and 94% of the fracture united within six months. Average constant score of 65.13 was achieved. Overall complication rates were 20% with one case of osteonecrosis of humeral head. 10% of the patient needed a second unplanned surgery. Fracture pattern and complications had significant impact on the functional outcome of the patient. Conclusion: Internal fixation with PHILOS plate is reliable operative option for displaced proximal humerus fracture which provides angular stable fixation, especially in an osteoporotic bone. High r