PHILOS LOCKING PLATES IN PROXIMAL HUMERUS FRACTURES IN OSTEOPOROTIC PATIENTS
Journal Title: International Journal of Pharmaceutical and Biological Sciences Fundamentals (www.ijpbsf.com) - Year 2012, Vol 2, Issue 1
Abstract
Different operative techniques used for treating displaced proximal humeral fractures could result in malunion, non-union, osteonecrosis of humeral head, loosening of screw and loss of reduction particularly in comminuted and osteoporotic fractures. Locking compression plate has been proposed for open reduction and internal fixation of these fractures and is associated with less complication rate. A prospective study was conducted at Department of Orthopedics, MMMC, Mullana Ambala, between July 2005 to July 2008. A total of 20 patients with proximal Humerus Fracture were included in this study. Functional outcome and the complications were assessed after an average follow-up of 14 months. Radio graphically, union was observed in 16 patients at the end of 10 weeks. In three patients, times to union were 16 weeks. One patient underwent autogenous bone grafting because of nonunion after 16 weeks. The mean Constant-Murley score was 82 (range 66-92). Fixation with the Philos plate would be an effective choice in the treatment of complex senile osteoporotic fracture of the proximal humerus.
Authors and Affiliations
Dr Ramji Lal Sahu , Dr Pratiksha Gupta
Keywords
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