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Volume 3 Issue 3 (July - September, 2015)

Original Articles

To assess the impact of performance on patients with proximal humerus fractures who undergo PHILOS plate fixation
Mukesh Chander Pokhariyal, Mukesh Kumar Soni

Aim: To assess the impact of performance on patients with proximal humerus fractures who undergo PHILOS plate fixation. Materials and Methods: This is a prospective study, conducted in the Department of Orthopedics and 50 patients who were admitted with displaced fracture of Proximal Humerus. All skeletally mature patients presenting with proximal humerus fractures according to NEER two- and three-part fracture, Patients with associated dislocation of the shoulder and Patients undergoing revision surgery for failure of other implants were included in this study. Pathologic fractures from primary or metastatic tumours, Poly trauma, Failure of conservative treatment and Undisplaced fracture were excluded from the study. Results: The fracture of all 50 patients were classified using NEER'S Classification. Out of 50 patients, 37 were had Neer's3-part fracture, 10 were had Neer's2-part fracture in which 3 had surgical neck fracture and 3 had greater tuberosity fracture. Out of the 50 patients followed up, 9 patients had excellent scores, 21 had good scores, 13 had moderate scores and 27 had poor outcome scores. Mean constant score for Neertwo-part fracture was 78.11, for Neer's three parts fracture was 71.55. Conclusion: Our findings indicate that patients who do early range of motion exercise with stable fixation via PHILOS enjoy reduced stiffness in the surrounding joint and are able to live a pain-free and healthy life.

 
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