IP International Journal of Orthopaedic Rheumatology
Official Publication of Indian Orthopaedic Rheumatology Association
Official Publication of Indian Orthopaedic Rheumatology Association
Print ISSN:-2581-8112
Online ISSN:-2581-9151
CODEN : IIJOAT
Original Article
Author Details :
Volume : 10, Issue : 1, Year : 2024
Article Page : 18-24
https://doi.org/10.18231/j.ijor.2024.005
Abstract
Introduction: Proximal humerus fractures, accounting for approximately 5% of all fractures, pose a significant challenge in orthopedic management due to their complex anatomy and diverse fracture patterns. Treatment options range from conservative methods to various surgical interventions, each with its pros and cons. This study specifically compares two commonly employed surgical techniques: Open reduction & internal fixation with PHILOS plate and percutaneous k-wire fixation with/without external clamps. This study aims to address the effectiveness of each technique by evaluating functional outcomes using validated scoring systems like the Constant-Murley Score.
Objectives: To assess the functional outcomes of two surgical treatment methods (K-wire application and PHILOS plate fixation) for proximal humerus fractures.
Materials and Methods : A randomized prospective study was conducted on patients coming to the Orthopaedics outpatient department or casualty of tertiary care hospital for a duration of 1 year from Dec 2022 to Nov 2023. A total of 18 patients were included in the study.
Results: The mean Constant- Murley Score (CMS) was 81 +/- 6.13 for the PHILOS plating group and 76.88 +/- 7.37 for the K-wire treated group with a p-value of 0.08. The results for CMS were excellent in 22.2% of patients and good in 66.7% of patients in PHILOS treated group and excellent for 11.11%, good for 66.67% and satisfactory for 22.2% in the K-wire treated group.
Conclusion: Both groups achieved satisfactory functional outcomes with CM Score at the final follow-up. Both techniques achieved favorable outcomes, with a majority of patients in both groups (88.89% for PHILOS and 77.78% for K-wire) achieving good to excellent results based on the CMS scores.
Keywords: Proximal Humerus Fractures, PHILOS, K-wire, Constant-Murley score
How to cite : Agrawal M, Bhosale A, Pimpale T, A comparative study of functional outcome of percutaneous kirschner wire fixation versus philos plating of proximal humerus fractures. IP Int J Orthop Rheumatol 2024;10(1):18-24
This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution 4.0 International License, which allows others to remix, and build upon the work, the licensor cannot revoke these freedoms as long as you follow the license terms.
