Osteosynthesis of Proximal Humeral Fractures with the Fixed Angle PHILOS-plate

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Daniela KlitscherPol Maria Rommens

Abstract

In a retrospective study we analyzed the functional and radiological outcome of 30 proximal humeral fractures, treated by PHILOS-plate, a fixed-angle device. Two of them were characterized as type Neer III, 14 as type Neer IV, 5 as type Neer V and 9 as type Neer VI. There were 2 2-part, 16 3-part and 12 4-part fractures. According to the constant-score, the normalized constant-score and the UCLA-score, good to excellent results were obtained in 66.7, 76.7 and 76.7%. Twenty-six (86.7%) patients had no or mild pain. Active forward flexion and active abduction over 90° was possible in 26 (86.7%) cases. Four (13.3%) patients developed partial avascular necrosis. Screw perforation was seen in 3 (10%) cases, delayed union in 1 (3.3%) case, malunion in 1 case and a loosening of plate and screws in another one. A secondary varus displacement of 5°-35° with a mean of 7° was found in 19 (63.3%) cases. The average time to union was 75 days. Fixation with PHILOS-plate is an adequate treatment for displaced 2- to 4-part fractures. Even in dislocated or 4-part fractures or in patients over 65 years good to excellent results were seen in the majority of cases.

References

Jan 1, 1982·Archives of Orthopaedic and Trauma Surgery·M SturzeneggerR P Jakob
Jan 1, 1995·Journal of the Southern Orthopaedic Association·P M Connor, D F D'Alessandro
Jun 1, 1996·Clinical Orthopaedics and Related Research·J Y Ko, R Yamamoto
Mar 1, 1997·The Journal of Bone and Joint Surgery. British Volume·H ReschM Wambacher
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·K ZytoH Törnkvist
Jan 12, 2000·Journal of Orthopaedic Trauma·D S RuchJ A Nunley
Oct 3, 2001·Acta Orthopaedica Scandinavica·C M Court-BrownM M McQueen
Jan 5, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M H Hessmann, P M Rommens
Jan 5, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A Rüter
Oct 16, 2002·Journal of Shoulder and Elbow Surgery·Udai PrakashJohn A Dent
Mar 30, 2004·The Journal of Bone and Joint Surgery. British Volume·F KralingerH Resch
May 13, 2005·Journal of Shoulder and Elbow Surgery·Leonid I KatolikBernard R Bach
Sep 28, 2006·Operative Orthopädie und Traumatologie·R WirbelW Mutschler

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Citations

Mar 5, 2011·Musculoskeletal Surgery·C IacobellisR Aldegheri
Jun 11, 2011·Acta Orthopaedica·Stig BrorsonAsbjørn Hróbjartsson
Oct 2, 2013·The Open Orthopaedics Journal·James C WidnallMohammed Waseem
Jul 6, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Jordi Ortiz-GilPeter J McKenna

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