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Objective: The objective of the study was to assess functional outcome of Proximal Humerus Inter Locking System (PHILOS) Plating in displaced proximal humeral fractures by Constant-Murley (Subjective and Objective) score. Material and methods: The PHILOS plate was used for internal fixation of displaced proximal humeral fractures in 25 patients 11 females, 14 males; mean age 60.64 years range(28-90yrs). Fractures were caused by low-energy trauma fall from standing height in 16 patients, and by an road traffic accident in 9 patients. Involvement was on the right in 15 cases and on the left in 10 cases. Bone graft was used in 2 cases to prevent varus malalignment. All patients received a similar physical therapy program following internal fixation with the PHILOS plate. The patients were assessed clinically and radiographically at regular intervals of 6 weeks, 12 weeks and 6 months. Functional outcome was assessed using the ConstantMurley score. Complications during the follow-up period were recorded. Results: 9 patients had Neer’s four part fracture, 12 patients had 3 part fracture and 4 patients had 2 part fracture. After 6 months of follow up mean Constant and Murley score of 63.76 was achieved. Outcomes were excellent, good, moderate and poor in 2(8%), 3(12%), 14(56%), 6(24%) respectively. The most frequent complication seen was shoulder stiffness in 6 patients, malreduction in 4 and impingement in 4 patients. Conclusion: Fixation of proximal humerus fractures with proximal humerus locking plates is associated with satisfactory functional outcomes in 2-part and 3-part and 4 part fracture. The incidence of complications is relatively high in 3 part and four part fractures. Advanced surgical skills and surgeon’s experience are considered to be more critical for successful operative treatment.

Functional outcome of proximal humeral interlocking system plating for displaced proximal humeral fractures in adults