Abstract
The author rates his experience of using PHILOS plate for two years for fractures of the proximal humerus.
The advantage of LCP plates is the angular stability of osteosynthesis, which is the assumption for an early mobilisation and rehabilitation of shoulder joint.
The poor functional result of the treatment of proximal humerus fractures is caused by difficulties and complications by osteosynthesis with the PHILOS plate and it arises from several factors:
-
- inexperienced operator
-
- insufficient reposition of the fracture and poor reconstruction of fracture of humeral tuberculi and rotator cuff of the humerus
-
- incorrect localisation and implantation of PHILOS plate
-
- neurological deficit – lesion of axillaris nerv
-
- deficient rehabilitation and poor functional after-treatment
Author looks upon the causes of failures by osteosynthesis of fractures of proximal humerus.
In the years 2003 – 2004 there were operated 34 fractures of proximal humerus with the PHILOS plate. The functional results – the evaluation of subjective difficulties and clinical evaluation show 56% excellent, 23% good, 11% satisfactory and 10% poor results.
All these complications can be prevented especially by through judgment of X-rays and CT scans, by precise depiction of the type of fracture and by the preoperative preparation of the surgeon. The perfect reposition of the fragments with the use of the X-ray control and good localisation of the plate ensures good stability of osteosynthesis. The functional after treatment involving the use orthesis or braccing and early mobilisation and rehabilitation depending on the well technically performed osteosynthesis ensures a good functional result.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
