To determine the functional outcome of Philos plate fixation in patients with proximal Humerus fracture.

  • pervez ali jpmc
  • muzafer Buriro Senior Registrar JPMC Karachi
  • Fahad Jatoi Senior Registrar JPMC Karachi
  • Dost Mohammad postgraduate JPMC Karachi
  • iftikhar memon postgraduate JPMC Karachi
  • Ejaz Matlo postgraduate JPMC Karachi
  • Mian sajjad postgraduate JPMC Karachi
  • Riaz Elahi Post graduate jpmc
Keywords: Philos plate fixation, Proximal humerus fracture, Constant-Murley Score


The Functional Outcome of Philos Plate Fixation in Patients with Proximal Humerus Fracture

Objective: To determine the functional outcome of Philos plate fixation in patients with proximal Humerus fracture.

Methodology: A prospective observational study was conducted at the Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi as well as Neurospinal and Medical Institute (NMI), Karachi between June 2016, and January 2021. Post-operative patients with proximal humerus fracture treated with Philos plate fixation were enrolled. Detailed history and physical examination were recorded. Patients were followed up to 12 weeks to determine functional outcome. Constant-Murley Score was used to assess the functional outcome as either satisfactory or unsatisfactory.

Results: A total of 304 patients were recruited in the study with a mean age of 51.42+7.939 years (range; 30-60). 216 (71.05%) patients who were managed with Philos plate for the management of fracture of the proximal humerus had satisfactory outcomes while only about 88 (28.95%) patients had unsatisfactory outcomes. 54 (17.76%) patients with an unsatisfactory outcome were older than 45 years. Body Mass Index was not significantly associated with patient outcome. However, delay in presentation of more than three days was significantly associated with unsatisfactory outcome in patients as 82 out of 90 patients with delay > 3 days had unsatisfactory outcome at the end of the study (p=0.0002)

Conclusion: We reported that philos plate fixation provided adequate stability and overall, a good functional outcome. Further large-scale studies should be conducted to ascertain our findings and assess the long-term complications.

Key words: Philos plate fixation, Proximal humerus fracture, Constant-Murley Score





Launonen AP, Lepola V, Saranko A, Flinkkilä T, Laitinen

M. Epidemiology of proximal humerus fractures. Arch

Osteoporos. 2015:10(1):209. doi: 10.1007/s11657-015-


Kannus P, Niemi S, Sievänen H, Parkkari J. Stabilized

incidence in proximal humeral fractures of elderly

women: nationwide statistics from Finland in 1970–2015

J Gerontol A Biol Sci Med Sci. 2017;72(10):1390-1393.

doi: 10.1093/gerona/glx073.

Swarup I, O'Donnell JF. An overview of the history of

orthopedic surgery. Am J Orthop (Belle Mead NJ). 2016


Klug A, Gramlich Y, Wincheringer D, Schmidt-Horlohé

K, Hoffmann R. Trends in surgical management of

proximal humeral fractures in adults: a nationwide study

of records in Germany from 2007 to 2016. Arch Orthop

Trauma Surg. 2019;139(12):1713-1721. doi: 10.1007/


Kakkar RS. Principles and fundamental concepts in the

fixation of proximal humerus fractures through a

locking plate. Int J Ortho.2019;5(2):816-22.

Laux CJ, Grubhofer F, Werner CM, Simmen HP,

Osterhoff G. Current concepts in locking plate fixation

of proximal humerus fractures. J Ortho Sur Res.


Vrotsou K, Ávila M, Machón M, Mateo-Abad M, Pardo

Y, Garin O, Constant-Murley Score: systematic

review and standardized evaluation in different shoulder

pathologies. Qual Life Res. 2018 Sep;27(9):2217-2226.

doi: 10.1007/s11136-018-1875-7.

Dahan G, Trabelsi N, Safran O, Yosibash Z. Finite

element analyses for predicting anatomical neck fractures

in the proximal humerus. Clin Biomech (Bristol, Avon).

Aug:68:114-121. doi:10.1016/j.clinbiomech. 2019.


Khoriati AA, Antonios T, Bakti N, Mohanlal P, Singh

B. Outcomes following non operative management for

proximal humerus fractures. J Clin Ortho & Trauma.


Lorenz G, Schönthaler W, Huf W, Komjati M, Fialka

C, Boesmueller S. Complication rate after operative

treatment of three-and four-part fractures of the proximal

humerus: locking plate osteosynthesis versus proximal

humeral nail Eur J Trauma Emerg Surg. 2021 Dec;47(6):

-2064. doi: 10.1007/s00068-020-01380-7.

Court-Brown CM, Duckworth AD, Clement ND,

McQueen MM. Fractures in older adults. A view of the

future? Injury. 2018 Dec;49(12):2161-2166. doi:10.1016/


Chandrappa MH, Hajibandeh S, Hajibandeh S.

Postoperative outcomes of initial varus versus initial

valgus proximal humerus fracture: A systematic review

and meta-analysis. J Clin Orthop Trauma.2017;8(1):14-

doi: 10.1016/j.jcot.2016.09.011.

Ganesh GS, Harish Babu DN, Chandrsekharan VM,

Subash Y. Prospective study to assess functional outcome

in proximal humerus fracture treated using philos. Int

J Ortho. 2023;9(1):37-41. DOI: 10.22271/ortho. 2023.


Nath M, Sherchan B, Bhadra Hamal DS. Functional

Outcome of Philos Plating in Proximal Humerus

Fracture. Int J Innov Sci & Res Technol. 2021; 6(11):


Sproul RC, Iyengar JJ, Devcic Z, Feeley BT. A

systematic review of locking plate fixation of proximal

humerus fractures. Injury.2011 Apr;42(4):408-13. doi:


Khmelnitskaya E, Lamont LE, Taylor SA, Lorich DG,

Dines DM, Dines JS. Evaluation and management of

proximal humerus fractures. Adv Orthop. 2012:2012:

doi: 10.1155/2012/861598.

Patil SR, Vora S, Tailor D, Mehta C, Chitnavis S.

Functional outcome of Type 3 and Type 4 proximal

humerus fractures treated with PHILOS plating. Int J

Ortho. 2020;6(2):919-23.


How to Cite
ali, pervez, Buriro, muzafer, Jatoi, F., Mohammad, D., memon, iftikhar, Matlo, E., sajjad, M., & Elahi, R. (2023). To determine the functional outcome of Philos plate fixation in patients with proximal Humerus fracture. Annals of Jinnah Sindh Medical University, 9(2), 34-37. Retrieved from
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