Fracture dislocation proximal humerus fixed by PHILOS plate: A case series

Fracture dislocation of proximal humerus are a rare pathological entity in the field of orthopedic surgery. One of the most feared complications associated with proximal humerus is avascular necrosis (AVN). The literature does not contain clear, evidence-based guidelines for the surgical management. Patients were treated with open reduction and internal fixation (ORIF). The patients did not show any signs of AVN of the humeral head. Anatomical neck fractures of the humerus are uncommon injuries in the literature. Due to the poor vascularization and the absence of attachment to soft tissue, there is a significantly high risk of AVN associated with fracture dislocation of proximal humerus. The patients presented in our report was treated with ORIF since it allows preservation of the humeral head.

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Publication Details

Journal
International Journal of Orthopaedics Sciences
Published
2024-10-01
DOI
https://doi.org/10.22271/ortho.2024.v10.i4c.3639
Primary Topic
Shoulder Injury and Treatment
Type
article
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article

Fracture dislocation proximal humerus fixed by PHILOS plate: A case series

Dhanush K, Darshan TM, Abhijith VV, Chethan MS
International Journal of Orthopaedics Sciences
Shoulder Injury and Treatment
article

Fracture dislocation proximal humerus fixed by PHILOS plate: A case series

Dhanush K, Darshan TM, Abhijith VV, Chethan MS
article en

Abstract

Fracture dislocation of proximal humerus are a rare pathological entity in the field of orthopedic surgery. One of the most feared complications associated with proximal humerus is avascular necrosis (AVN). The literature does not contain clear, evidence-based guidelines for the surgical management. Patients were treated with open reduction and internal fixation (ORIF). The patients did not show any signs of AVN of the humeral head. Anatomical neck fractures of the humerus are uncommon injuries in the literature. Due to the poor vascularization and the absence of attachment to soft tissue, there is a significantly high risk of AVN associated with fracture dislocation of proximal humerus. The patients presented in our report was treated with ORIF since it allows preservation of the humeral head.

International Journal of Orthopaedics SciencesVol. 10(4)
Openalex Percentile: Top 57%
Shoulder Injury and Treatment
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