Acta Scientific Clinical Case Reports

Research ArticleVolume 4 Issue 4

Comparative Analysis between MultiLoc Nailing Vs Philos Plating in Proximal Humerus Fractures in Elderly Population

Vipin Tyagi1, Amit Dwivedi1, Rahul Kakran2, Ankit Yadav2*, Nitin Malik3, Chirantan MS4 and Ashish Agarwal5

1Director and HOD, Department of Orthopaedics, Yashoda Super-Speciality Hospital, Ghaziabad, India
1Professor and HOD, Department of Orthopaedics, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
2Consultant, Department of Orthopaedics, Yashoda Super-Speciality Hospital, Ghaziabad, India
2,3,4Post Graduate, Department of Orthopaedics, Santosh Medical College and Hospital, India
5Post graduate (DNB 1ST YEAR), Department of Orthopaedics, Yashoda Super-Speciality Hospital Ghaziabad, India

*Corresponding Author: Ankit Yadav, Post Graduate, Department of Orthopaedics, Santosh Medical College and Hospital, India.

Received: February 20, 2023; Published: March 03, 2023

Abstract

Introduction: Fractures of the proximal humerus represent 5% of all fractures. They are more prevalent in the elderly population and among females. Surgical neck fractures are the most common type of proximal humerus fractures. Surgical indications are based on the displacement presented by the fragments, according to the criteria described by Neer three types of fracture of the surgical neck: angled, translated/separated and comminuted, and on the variations in expectations from the final result, which depend on the patient's age and activity levels before the injury.

Aim and Objectives: Our aim was to explore the clinical outcome of PHFs with the treatment of MultiLoc nail or Philos plating in the elderly patients.

Materials and Methods: It is a retrospective study, which was conducted at and Santosh medical college and Hospital and Yashoda super speciality Hospital Ghaziabad for a period of 1 year from July 2017- Aug 2018. Patients with proximal humerus fractures who were willing for surgery and were admitted during the period of study were included. Total number of patients were 68, who met the following criteria. 35 patients were treated with MultiLoc nailing and the remaining 33 patients were treated with Philos plating.

Conclusion: We conclude that Proximal humerus fracture treated with PHN offers minimally invasive, cosmetically acceptable scar, stable and axial fixation with minimal soft tissue damage, early mobilization, where as in PHILOS provide rigid and stable fixation in most of comminuted fractures.

The choice of implant for proximal humerus fracture depends on the surgeon’s expertise to manage the fracture as every fracture has its own orientation and need for reduction and to provide an early mobilization and good clinical and functional outcome to the patient.

Proximal humeral fractures (PHFs) account for 4-5% of all fractures in the elderly. There is still a controversy among the treatments in the displaced PHFs. Our aim was to explore the clinical outcome of PHFs with the treatment of MultiLoc nail or Philos plating in the elderly patients.

 Keywords: Proximal Humeral Fractures (PHFs); PHILOS; Philos Plating

Bibliography

  1. Court-Brown CM., et al. “The epidemiology of proximal humeral fractures”. Acta orthopaedica Scandinavica 4 (2001): 365-371.
  2. Neer CS 2nd. “Displaced proximal humeral fractures. I. Classification and evaluation”. Journal of Bone and Joint Surgery6 (1970): 1077-1089.
  3. Court-Brown CM., et al. “Impacted valgus fractures (B1.1) of the proximal humerus. The results of non-operative treatment”. Journal of Bone and Joint Surgery4 (2002): 504-508.
  4. Court-Brown CM., et al. “The translated two-part fracture of the proximal humerus. Epidemiology and outcome in the older patient”. Journal of Bone and Joint Surgery6 (2001): 799-804.
  5. Court-Brown CM and McQueen MM. “The impacted varus (A2.2) proximal humeral fracture: prediction of outcome and results of nonoperative treatment in 99 patients”. Acta orthopaedica Scandinavica (2004): 75.
  6. Baron JA., et al. “The epidemiology of peripheral fractures”. Bone 18 (1996): 209S-213S.
  7. Rangan A., et al. “Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus”. JAMA 313 (2015): 1037.
  8. Wheeler DL and Colville MR. “Biomechanical comparison of intramedullary and percutaneous pin fixation for proximal humeral fracture fixation”. Journal of Orthopaedic Trauma 11 (1997): 363-367.
  9. Sahu R. “Philos Locking plates in proximal humerus fractures-literature review”. The Internet Journal of Health1 (2009).
  10. Hatzidakis AM., et al. “Angular-stable locked intramedullary nailing of two-part surgical neck fractures of the proximal part of the humerus”. Journal of Bone and Joint Surgery23 (2011): 2172-2179.
  11. Hudgens JL., et al. “Three- and 4-part proximal humeral fracture fixation with an intramedullary cage: 1-year clinical and radiographic outcomes”. Journal of Shoulder and Elbow Surgery6s (2019): S131-s137.
  12. Gracitelli MEC., et al. “Locking intramedullary nails compared with locking plates for two- and three-part proximal humeral surgical neck fractures: a randomized controlled trial”. Journal of Shoulder and Elbow Surgery5 (2016): 695-703.
  13. Dang KH., et al. “A new risk to the axillary nerve during percutaneous proximal humeral plate fixation using the synthes PHILOS aiming system”. Journal of Shoulder and Elbow Surgery9 (2019): 1795-1800.
  14. Laux CJ., et al. “Current concepts in locking plate fixation of proximal humerus fractures. Journal of Orthopaedic Surgery and Research 1 (2017): 137.
  15. Kitson J., et al. “A biomechanical comparison of locking plate and locking nail implants used for fractures of the proximal humerus”. Journal of Shoulder and Elbow Surgery3 (2007): 362-366.
  16. Füchtmeier B., et al. “Proximal humerus fractures: a comparative biomechanical analysis of intra and extramedullary implants”. Archives of Orthopaedic and Trauma Surgery6 (2007): 441-447.
  17. Li M., et al. “Intramedullary nail versus locking plate for treatment of proximal humeral fractures: a meta-analysis based on 1384 individuals”. Journal of International Medical Research 11 (2018): 4363-4376.
  18. Boudard G., et al. “Locking plate fixation versus antegrade nailing of 3- and 4-part proximal humerus fractures in patients without osteoporosis. comparative retrospective study of 63 cases”. Orthopaedics Traumatology: Surgery and Research8 (2014): 917-924.
  19. Nolan BM., et al. “Surgical treatment of displaced proximal humerus fractures with a short intramedullary nail”. Journal of Shoulder and Elbow Surgery8 (2011): 1241-1247.
  20. Lokesh Sharma D., et al. “Comparative Study of Functional Outcome Between Proximal Humeral Nailing and Philos Plating for Neer’s Type Two-, Three-, Four - Proximal Humeral Fractures”. Orthopedic Research Online Journal1 (2019): OPROJ.000629.2019.

Citation: Ankit Yadav., et al. “Comparative Analysis between MultiLoc Nailing Vs Philos Plating in Proximal Humerus Fractures in Elderly Population". Acta Scientific Clinical Case Reports 4.4 (2023): 15-21.

Copyright: © 2022 Ankit Yadav., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.