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

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

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 2007-04, Vol.127 (3), p.205-210
Main Authors: Charalambous, C P, Siddique, I, Valluripalli, K, Kovacevic, M, Panose, P, Srinivasan, M, Marynissen, H
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Bone Plates
Bone Screws
Female
Fracture Fixation, Internal - methods
Fractures, Malunited - diagnostic imaging
Fractures, Malunited - surgery
Humans
Humeral Fractures - diagnostic imaging
Humeral Fractures - surgery
Male
Middle Aged
Postoperative Complications
Radiography
Reoperation
Security management
Transplants & implants
Treatment Outcome
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Summary: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. 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. Of the 25 cases, 20 went to union with a mean neck/shaft angle of 127.2 degrees . 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. Our results suggest that PHILOS is an effective system for providing fracture stabilisation to bony union but awareness of potential hardware complications is essential.
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-006-0256-9