Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients
Background: Proximal humeral fractures account for 5:6% of all adult fractures; according to Neer classification displaced fracture could be two-, three-, and four-part fractures of the proximal humerus. Objectives: This study aims to evaluate surgical treatment outcomes by PHILOS plate versus cons...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
South Valley University, Faculty of Medicine
2024-07-01
|
| Series: | SVU - International Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://svuijm.journals.ekb.eg/article_382197.html |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832086886599884800 |
|---|---|
| author | Hamdy A. Tammam Elsayed Said Hossam Hamed Ahmed Khairy |
| author_facet | Hamdy A. Tammam Elsayed Said Hossam Hamed Ahmed Khairy |
| author_sort | Hamdy A. Tammam |
| collection | DOAJ |
| description | Background: Proximal humeral fractures account for 5:6% of all adult fractures; according to Neer classification displaced fracture could be two-, three-, and four-part fractures of the proximal humerus.
Objectives: This study aims to evaluate surgical treatment outcomes by PHILOS plate versus conservative treatment for displaced humeral fractures in elderly patients.
Patients and methods: This was a prospective randomized comparative study that was conducted on a total of 40 patients that fulfilled inclusion criteria presented with displaced proximal humeral fracture randomly selected from those seeking the medical care of the Orthopedic Surgery Department of our institute between 2022 and 2023, managed either by conservative management or by PHILOS plate.
Results: Forty patients presented with proximal humerus fracture, twenty in the Conservative treatment group and twenty in the PHILOS group. The PHILOS Plate group showed a highly significant increase in extension over the three visits (p-value < 0.0001*). There was an increase in internal rotation for both the Conservative Treatment group (p-value < 0.0001*) and the PHILOS Plate group (p-value = 0.031*).
Conclusion: The conservative treatment group and the PHILOS plate group experienced significant improvements in flexion and internal rotation, with the PHILOS plate group displaying a substantial enhancement in extension and external rotation. The conservative group showed a higher Constant score. |
| format | Article |
| id | doaj-art-e417100ebdb74c0cb9f0fb80ef488e6a |
| institution | Kabale University |
| issn | 2735-427X 2636-3402 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj-art-e417100ebdb74c0cb9f0fb80ef488e6a2025-02-06T09:51:55ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022024-07-0172 556568https://doi.org/10.21608/svuijm.2024.255695.1761Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patientsHamdy A. Tammam0 Elsayed Said 1 Hossam Hamed 2Ahmed Khairy3Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, South Valley University, Qena 83523, Egypt.Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, South Valley University, Qena 83523, Egypt.Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, South Valley University, Qena 83523, Egypt.Department of Orthopaedic Surgery and Traumatology, Faculty of Medicine, South Valley University, Qena 83523, Egypt.Background: Proximal humeral fractures account for 5:6% of all adult fractures; according to Neer classification displaced fracture could be two-, three-, and four-part fractures of the proximal humerus. Objectives: This study aims to evaluate surgical treatment outcomes by PHILOS plate versus conservative treatment for displaced humeral fractures in elderly patients. Patients and methods: This was a prospective randomized comparative study that was conducted on a total of 40 patients that fulfilled inclusion criteria presented with displaced proximal humeral fracture randomly selected from those seeking the medical care of the Orthopedic Surgery Department of our institute between 2022 and 2023, managed either by conservative management or by PHILOS plate. Results: Forty patients presented with proximal humerus fracture, twenty in the Conservative treatment group and twenty in the PHILOS group. The PHILOS Plate group showed a highly significant increase in extension over the three visits (p-value < 0.0001*). There was an increase in internal rotation for both the Conservative Treatment group (p-value < 0.0001*) and the PHILOS Plate group (p-value = 0.031*). Conclusion: The conservative treatment group and the PHILOS plate group experienced significant improvements in flexion and internal rotation, with the PHILOS plate group displaying a substantial enhancement in extension and external rotation. The conservative group showed a higher Constant score.https://svuijm.journals.ekb.eg/article_382197.htmlproximal humerus fracture philosconservative elderly patients |
| spellingShingle | Hamdy A. Tammam Elsayed Said Hossam Hamed Ahmed Khairy Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients SVU - International Journal of Medical Sciences proximal humerus fracture philos conservative elderly patients |
| title | Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients |
| title_full | Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients |
| title_fullStr | Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients |
| title_full_unstemmed | Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients |
| title_short | Evaluation of Surgical Treatment by PHILOS Plate versus Conservative Treatment for Displaced Proximal Humeral Fractures in Elderly patients |
| title_sort | evaluation of surgical treatment by philos plate versus conservative treatment for displaced proximal humeral fractures in elderly patients |
| topic | proximal humerus fracture philos conservative elderly patients |
| url | https://svuijm.journals.ekb.eg/article_382197.html |
| work_keys_str_mv | AT hamdyatammam evaluationofsurgicaltreatmentbyphilosplateversusconservativetreatmentfordisplacedproximalhumeralfracturesinelderlypatients AT elsayedsaid evaluationofsurgicaltreatmentbyphilosplateversusconservativetreatmentfordisplacedproximalhumeralfracturesinelderlypatients AT hossamhamed evaluationofsurgicaltreatmentbyphilosplateversusconservativetreatmentfordisplacedproximalhumeralfracturesinelderlypatients AT ahmedkhairy evaluationofsurgicaltreatmentbyphilosplateversusconservativetreatmentfordisplacedproximalhumeralfracturesinelderlypatients |