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Archives of Orthopaedic and Trauma Surgery

, Volume 127, Issue 3, pp 205–210 | Cite as

Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures

  • C. P. CharalambousEmail author
  • I. Siddique
  • K. Valluripalli
  • M. Kovacevic
  • P. Panose
  • M. Srinivasan
  • H. Marynissen
Trauma surgery

Abstract

Introduction

The aim of this study was to describe early results of a new internal locking system, PHILOS, used for the treatment of proximal humeral fractures.

Materials and methods

A chart and radiographic review of 25 cases that had proximal humeral internal locking system (PHILOS) plate for the treatment of proximal humeral fractures was performed.

Results

Of the 25 cases, 20 went to union with a mean neck/shaft angle of 127.2°. Five cases required or were considered for revision surgery for non-union or implant failure. Of the 25 implants, 4 had screw protrusion into the gleno-humeral joint, 4 had screw loosening and backing out, and 1 plate broke without further trauma.

Conclusions

Our results suggest that PHILOS is an effective system for providing fracture stabilisation to bony union but awareness of potential hardware complications is essential.

Keywords

Humerus Fracture fixation Internal Complications 

References

  1. 1.
    Agel J, Jones CB, Sanzone AG, Camuso M, Henley MB (2004) Treatment of proximal humeral fractures with polarus nail fixation. J Shoulder Elbow Surg 13:191–195PubMedCrossRefGoogle Scholar
  2. 2.
    Bernard J, Charalambides C, Aderinto J, Mok D (2000) Early failure of intramedullary nailing for proximal humeral fractures. Injury 31:789–792PubMedCrossRefGoogle Scholar
  3. 3.
    Burton D, Wells G, Watters A, Schilders E, Venkateswaran B (2005) Early experience with the PlantTan fixator plate for 2 and 3 part fractures of the proximal humerus. Injury 36:1190–1196PubMedCrossRefGoogle Scholar
  4. 4.
    Haidukewych GJ (2004) Innovations in locking plate technology. J Am Acad Orthop Surg 12:205–212PubMedGoogle Scholar
  5. 5.
    Hintermann B, Trouillier H, Schafer D (2000) Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br 8:1107–1112CrossRefGoogle Scholar
  6. 6.
    Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S (1992) The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am 74:491–500PubMedGoogle Scholar
  7. 7.
    Kristiansen B, Christensen SW (1986) Plate fixation of proximal humeral fractures. Acta Orthop Scand 57:320–323PubMedCrossRefGoogle Scholar
  8. 8.
    Machani B, Sinopidis C, Brownson P, Papadopulos P, Gibson J, Frostick SP (2006) Mid term results of PlantTan plate in the treatment of proximal humeral fractures. Injury 37:269–276PubMedCrossRefGoogle Scholar
  9. 9.
    Neer CS II (1970) Displaced proximal humeral fractures. Classification and evaluation. J Bone Joint Surg Am 52:1077–1089PubMedGoogle Scholar
  10. 10.
    Perren S (2003) Backgrounds of the technology of internal fixators. Injury 34:S-B1–S-B3CrossRefGoogle Scholar
  11. 11.
    Rajasekhar C, Ray P, Bhamra M (2001) Fixation of proximal humeral fractures with the polarus nail. J Shoulder Elbow Surg 10:7–10PubMedCrossRefGoogle Scholar
  12. 12.
    Robinson CM, Christie J (1993) The two part-proximal humeral fracture: a review of operative treatment using two techniques. Injury 24:123–125PubMedCrossRefGoogle Scholar
  13. 13.
    Robinson CM, Page R (2003) Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am 9:1647–1655Google Scholar
  14. 14.
    Sadowski C, Riand N, Stern R, Hoffmeyer P (2003) Fixation of fractures of the proximal humerus with the PlantTan humerus fixator plate: early experience with a new implant. J Shoulder Elbow Surg 12:148–151PubMedCrossRefGoogle Scholar
  15. 15.
    Wijgman A, Roolker W, Patt T, Raaymakers E, Marti R (2002) Open reduction and internal fixation of three and four part fractures of the proximal part of the humerus. J Bone Joint Surg Am 84:1919–1924PubMedGoogle Scholar
  16. 16.
    Zyto K, Ahrengart L, Sperber A, Tornkvist H (1997) Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br 3:412–417CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • C. P. Charalambous
    • 1
    • 3
    Email author
  • I. Siddique
    • 2
  • K. Valluripalli
    • 1
  • M. Kovacevic
    • 1
  • P. Panose
    • 1
  • M. Srinivasan
    • 2
  • H. Marynissen
    • 1
  1. 1.Department of Trauma and OrthopaedicsBurnley General HospitalBurnleyUK
  2. 2.Department of Trauma and OrthopaedicsBlackburn Royal InfirmaryManchesterUK
  3. 3.ManchesterUK

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