Aims and Objectives:
The aim of this study is to access the Functional and Radiological Outcome of Proximal Humerus fracture operated with PHILOS plate with Graft Augmentation in Osteoporotic Patients.And also the correlation between Functional and radiological outcomes.
Methodology
From June 2019 to May 2024 , 20 patients of proximal humerus fracture with DEXA SCAN showing osteoporosis were operated with PHILOS plate with auto fibular strut graft were followed prospectively for 6 months duration. The outcomes were accessed with VISUAL ANALOGUE SCORE (VAS) ,CONSTANT AND MURLEY SCORING SYSTEM for Functional Outcome assessment. NECK SHAFT ANGLE and union for Radiological outcome assessment. Correlation between the two outcome parameters were tested with Pearson Correlation Coefficient.
Results
The mean fracture healing was 18wks and change in NSA was found in 2 patients with minimal change of 20 degree.Average constant and murley score was 88.8 points out of 100 points. Superficial Infection was found in 1 patients which got cured by Antibiotics and regular dressing. With Pearson Correlation Coefficient analysis suggesting that there was a good correlation between functional and radiological outcomes parameters as it is towards 1.
Conclusion
Graft augmented osteosynthesis provides good bone healing and Good Functional Gain in Osteoporotic Patients. It prevents varus collapse,Screw lagout or penetration so maintains near normal anatomy like normal range NSA angle.As the Strut augments the fixation with plate by holding the screws and reduction throughtout the union. So provides good functional and radiological outcome as a end Result .
Keywords: PHILOs,DEXA,ORIF,C-M Score,NSA