Proximal Humerus Fracture with Plating

Mustafa Elsagier; Mohamed Mahmoud; Mohamed  Sosi

المؤلفون

Mustafa Elsagier Division of orthopaedic Surgery Faculty of Medicine Misurata University and Misurata Medical Center Misurataa Libya
Mohamed Mahmoud Department of Orthopaedics Misrata Medical Centre Libya
Mohamed Sosi Department of Orthopaedics Misrata Medical Centre Libya

الكلمات المفتاحية:

Proximal humerus frac-ture، PHILOS plate، locking plate، internal fixation، shoulder outcome

الملخص

Background:
Displaced proximal humerus fractures, especially in young adults or osteoporotic elderly patients, may require surgical fixation. The PHILOS locking plate provides angular stability and facilitates early mobilization.

Methods:
Thirty patients (age 18–60) with Neer type II–IV fractures were treated using the PHILOS plate between May 2020 and June 2024. A deltopectoral approach was used in all cases. Clinical and radiological follow-up averaged 24 months. Functional outcomes were assessed using the UCLA Shoulder Score.

Results:
Excellent or good outcomes were seen in 72% of cases. Mean UCLA score was 29.5. Average elevation reached 127°, with external rotation of 42°. Complications occurred in 28%, most commonly inadequate reduction (16%) and adhesive capsulitis (6%).

Conclusion:
PHILOS plate fixation is effective for displaced proximal humerus fractures, particularly when anatomic reduction is achieved. Outcomes are favorable, with a low complication rate when technical precision is maintained.

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