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229387

Evaluation of Proximal Humerus Internal Locking System in Management of Proximal Humeral Fractures

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Last updated: 03 Jan 2025

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Abstract

Background: Because they provide tight anatomical fixation and better angular stability, the proximal humerus PHILOS plate is now the implant of choice for treating displaced proximal humerus fractures. Objective: This study aimed to improve radiological & clinical outcome of proximal humeral fractures using PHILOS Plate. Patients and Methods: A prospective study involving 30 cases of proximal humeral fractures was done from January to December 2021. All patients were operated at Zagazig University Hospitals. All patients were treated surgically, with open reduction of the fractures and internal fixation with proximal humeral locking plates. The cases were followed for 6 months to a year. Results: All fractures healed satisfactorily, except in five patients. In two patients, there was stiffness, one with avascular necrosis (type 4 Neer classification) scheduled for plate removal and hemiarthoplasty and one with infection, which subsided after treatment. Fracture healing happened with varus displacement in one patient, and the patient was pleased with the outcome. Conclusion: Locking plates offer more advantages than conventional plates specially when dealing with osteoporotic bone. It is recommended to use locking plate whenever an elderly patient is indicated for internal fixation.  

DOI

10.21608/ejhm.2022.229387

Keywords

proximal humeral fractures, Internal locking system

Authors

First Name

Abdelsalam Eid

Last Name

Abdelsalam

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First Name

Mohamed Hegazy Abdelhamid

Last Name

Ahmed

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Email

mohamed_hegazy2017@hotmail.com

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First Name

Hany Mohamed Abdelfatah

Last Name

Bakr

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First Name

Salah Mahmoud

Last Name

Abdelkader

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Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-04-06

Publish Date

2022-04-01

Page Start

1,713

Page End

1,719

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_229387.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=229387

Order

121

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Proximal Humerus Internal Locking System in Management of Proximal Humeral Fractures

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Article

Created At

22 Jan 2023