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Published in: Archives of Orthopaedic and Trauma Surgery 3/2007

01-04-2007 | Trauma surgery

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

Authors: C. P. Charalambous, I. Siddique, K. Valluripalli, M. Kovacevic, P. Panose, M. Srinivasan, H. Marynissen

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2007

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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.
Literature
1.
go back to reference Agel J, Jones CB, Sanzone AG, Camuso M, Henley MB (2004) Treatment of proximal humeral fractures with polarus nail fixation. J Shoulder Elbow Surg 13:191–195PubMedCrossRef Agel J, Jones CB, Sanzone AG, Camuso M, Henley MB (2004) Treatment of proximal humeral fractures with polarus nail fixation. J Shoulder Elbow Surg 13:191–195PubMedCrossRef
2.
go back to reference Bernard J, Charalambides C, Aderinto J, Mok D (2000) Early failure of intramedullary nailing for proximal humeral fractures. Injury 31:789–792PubMedCrossRef Bernard J, Charalambides C, Aderinto J, Mok D (2000) Early failure of intramedullary nailing for proximal humeral fractures. Injury 31:789–792PubMedCrossRef
3.
go back to reference 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 36:1190–1196PubMedCrossRef 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 36:1190–1196PubMedCrossRef
4.
go back to reference Haidukewych GJ (2004) Innovations in locking plate technology. J Am Acad Orthop Surg 12:205–212PubMed Haidukewych GJ (2004) Innovations in locking plate technology. J Am Acad Orthop Surg 12:205–212PubMed
5.
go back to reference Hintermann B, Trouillier H, Schafer D (2000) Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br 8:1107–1112CrossRef Hintermann B, Trouillier H, Schafer D (2000) Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br 8:1107–1112CrossRef
6.
go back to reference 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 74:491–500PubMed 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 74:491–500PubMed
7.
go back to reference Kristiansen B, Christensen SW (1986) Plate fixation of proximal humeral fractures. Acta Orthop Scand 57:320–323PubMedCrossRef Kristiansen B, Christensen SW (1986) Plate fixation of proximal humeral fractures. Acta Orthop Scand 57:320–323PubMedCrossRef
8.
go back to reference 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 37:269–276PubMedCrossRef 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 37:269–276PubMedCrossRef
9.
go back to reference Neer CS II (1970) Displaced proximal humeral fractures. Classification and evaluation. J Bone Joint Surg Am 52:1077–1089PubMed Neer CS II (1970) Displaced proximal humeral fractures. Classification and evaluation. J Bone Joint Surg Am 52:1077–1089PubMed
10.
go back to reference Perren S (2003) Backgrounds of the technology of internal fixators. Injury 34:S-B1–S-B3CrossRef Perren S (2003) Backgrounds of the technology of internal fixators. Injury 34:S-B1–S-B3CrossRef
11.
go back to reference Rajasekhar C, Ray P, Bhamra M (2001) Fixation of proximal humeral fractures with the polarus nail. J Shoulder Elbow Surg 10:7–10PubMedCrossRef Rajasekhar C, Ray P, Bhamra M (2001) Fixation of proximal humeral fractures with the polarus nail. J Shoulder Elbow Surg 10:7–10PubMedCrossRef
12.
go back to reference Robinson CM, Christie J (1993) The two part-proximal humeral fracture: a review of operative treatment using two techniques. Injury 24:123–125PubMedCrossRef Robinson CM, Christie J (1993) The two part-proximal humeral fracture: a review of operative treatment using two techniques. Injury 24:123–125PubMedCrossRef
13.
go back to reference Robinson CM, Page R (2003) Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am 9:1647–1655 Robinson CM, Page R (2003) Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am 9:1647–1655
14.
go back to reference 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 12:148–151PubMedCrossRef 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 12:148–151PubMedCrossRef
15.
go back to reference 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 84:1919–1924PubMed 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 84:1919–1924PubMed
16.
go back to reference Zyto K, Ahrengart L, Sperber A, Tornkvist H (1997) Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br 3:412–417CrossRef Zyto K, Ahrengart L, Sperber A, Tornkvist H (1997) Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br 3:412–417CrossRef
Metadata
Title
Proximal humeral internal locking system (PHILOS) for the treatment of proximal humeral fractures
Authors
C. P. Charalambous
I. Siddique
K. Valluripalli
M. Kovacevic
P. Panose
M. Srinivasan
H. Marynissen
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 3/2007
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-006-0256-9

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