Published: 2017-04-25

Functional outcome of displaced proximal humerus fractures managed by proximal humerus interlocking system plate

C. D. Deepak, Mahesh D. V., Abdul Ravoof, Manash Jyoti Baruah


Background: Fractures of the proximal humerus are the second most common upper extremity fracture and the third most common fracture, after hip and distal radial fractures. The fractures can occur at any age, but the incidence rapidly increases with age.

Methods: The study was conducted in patients treated for displaced proximal humerus fracture at Adichunchanagiri Institute Of Medical Sciences, BG Nagar from the month of June 2014 to August 2016. Twenty proximal humerus fracture patients were taken into the study; all were fixed with PHILOS plate. Patients’ age ranged from 18 to 75 years with a mean of 42.9.

Results: The sample consisted of twenty patients of proximal humeral fractures. 08 were males and 12 females. The patients’ ages ranged from 18-75 years with a mean age of 42.9 years. The causes of fractures were road traffic accident in 13 patients, fall in 06 patients and electric shock in 1 patient. 11 fractures involved the right side and 09 involved the left. Patients were followed up from 03 weeks to 06 months. Functional outcome was rated as per Constant-Murley Shoulder Score, we got excellent results in 04 cases, satisfactory in 10, unsatisfactory in 05 xi and failure in 01 patient. Mean Constant-Murley score of this study at the end of the final follow-up period was 81.6.

Conclusions: The PHILOS plate is a good implant to use for fractures of the proximal humerus. However, proper placement of the plate and fixation are required to produce satisfactory results. We recommend use of this implant in Neer 2-part, 3-part, 4-part fractures with or without dislocation and osteoporotic fractures.


Proximal humeral fracture, Osteoporotic fracture, Neer’s classification, Open reduction and internal fixation, Deltopectoral approach, Philos, Constant-Murley score

Full Text:



Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72:365-71.

Terry Canale’s Campbell’s Operative Orthopaedics, Vol-3: 9th edition. Mosby Publishers, USA; 1998: 2286-2296.

Bucholz and Hecman’s Rockwood and Green Fractures in Adults Vol-1: 5th Edition, Lippincott Williams and Wilkins Company, USA; 2001: 1055-1107.

Neer CS. Displaced Proximal humeral fractures. I. Classification and Evaluation. J Bone Joint Surg Am. 1970;52:1077-89.

Ananthula KR, Prashanth V. A Study of Functional outcome of Fractures of Upper End Humerus Treated by Philos Plate. J of Evidence Based Med & Hlthcare. 2015;44(2):7961-66.

Herscovici D Jr, Saunders DT, Johnson MP, Sanders R, DiPasquale T. Per-cutaneous fixation of proximal humeral fractures. Clin Orthop Relat Res. 2000;(375):97-104.

Buecking B, Mohr J, Ruchholtz S. Deltoid-split or Deltopectoral Approaches for the Treatment of Displaced Proximal Humeral Fractures. Clin Orthop Relat Res. 2014;472(5):1576-85.

Leonard M, Mokotedi L, Fleming P. The use of locking plates in proximal humeral fractures: Comparison of outcome by patient age and fracture pattern. Int J Shoulder Surg. 2009;3(4):85-89.

Bansal V, Sohal HS, Bhoparai RS. Philos Plate in Proximal Humerus Fracture – Its Functional Outcome and Complications. Int J Orthop. 2015;2(3):317-22.