Proximal humerus fractures one of the most common fracture in elderly osteoporotic bones remains an unsolved mystery due to higher rate of complications affecting activities of daily living. Hence we aim to assess the functional outcome of proximal humeral fractures (3-part and 4-part) treated with the PHILOS plate. Method-In our study we prospectively studied 25 cases of which fifteen were type 3 and ten were type 4 fracture proximal humerus fracture (neers classification) and fixation with PHILOS plate was done in our institution. Clinical outcome was measured using the patient-based UCLA and DASH scoring systems. Two patients had complications, one with screw perforation and delayed union while other with stiffness and functional limitation. Radiological union was achieved within 11.2 weeks. Functional ROM forward flexion 153.6, abduction 129.2, external rotation 54,internal rotation 48.2degree. Mean UCLA Scores at final follow up was 27.8 with good to excellent results in 72% cases and fair to poor result in 28% cases. Average DASH Score at final follow up was 22.53.From this clinical study, we consider PHILOS plating is safe and effective for unstable 3 and 4 part proximal humeral fractures. This technique offers a stable fixation and early recovery. During this study complications were minimal and excellent functional results were obtained.
