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Research Paper | Medical Science | India | Volume 13 Issue 4, April 2024

A Comparative Study of Functional Outcome Following Philos Plating Versus Percutaneous Pinning in Proximal Humerus Fractures

Yogesh Mittal | Yash Srivastava ^[2] | Deepak Kumar ^[26]

Abstract: Objective: This study was aimed at determining the rate of union, complications, operative risks and comparing the clinical functional outcome following ORIF (PHILOS plating) with CRIF (percutaneous K-wire fixation) for 3 and 4- part proximal humerus fracture patients. Method: Study was conducted at UPUMS, Saifai from Nov-2020 till Nov- 2022 in orthopaedics department, total 44 patients with 3 and 4-part proximal humerus fracture ORIF (PHILOS) (21 patient) and CRIF (K-wire) (23 patient) Neer?s classification of proximal humerus was used to classify fracture, minimum 6 months follow-up, Functional outcome was assessed using Constant-Murley shoulder score. Results: Of the 21 patients (ORIF with PHILOS), all fractures united radiologically and clinically and average constant score at final follow-up was 82.30. Of the 23 patients (CRIF with K-wire), average constant score at final follow-up was 75.84. Conclusion: Our study demonstrates that locking plate fixation gives good functional outcomes in treatment of proximal humerus fractures. Our results are comparable to various studies conducted by other authors which states that locking plates (PHILOS) provide better functional and radiological outcomes as compared to other fixation methods like percutaneous K-wire fixation, nonlocking plates, intramedullary nails, Tension band wiring.

Keywords: Proximal Humerus Fracture, PHILOS plating, percutaneous pinning, Constant- Murley shoulder score

Edition: Volume 13 Issue 4, April 2024,

Pages: 1299 - 1304