Outcome of Fixation of Displaced and Unstable 3-part Greater Tuberosity Fractures of Proximal Humerus by using PHILOS Plate

Abstract

Objective: To evaluate the outcome of fixation of displaced and unstable 3-part greater tuberosity fractures of proximal humerus by using PHILOS plate

Study Design: Prospective case series study

Place and Duration of Study: This study was conducted at the Orthopedic Complex, QAMC/B.V.  Hospital, Bahawalpur from March 2017 to March 2018.

Materials and Methods: 30 patients (27 males and 3 females), age range 25 to 60 years having closed 3-part greater tuberosity fracture of proximal humerus (according to Neer’s classification) were operated by using PHILOS plate and screws. Postoperative follow up evaluation was done for six months by Constant Scoring System for shoulder.

Results: Of the 30 patients operated all fractures healed satisfactorily except 3 patients who developed varus mal-union. Four patients (13.3%) felt mild pain with elevation of arm beyond 90 degrees while sub-acromial impingement was noted in 5(16.6%) patients. Overall functional outcome according to Constant Scoring system at six months follow up was excellent in 18 (60%) patients, good in 6 (20%) patients and moderate in remaining 6 (20%) patients.

Conclusion: The PHILOS plate system is a good option for the treatment of 3-part greater tuberosity fractures of the proximal humerus and especially reliable device in case of the associated osteoporosis and poor bone stock