OBJECTIVE: To present the experience in a single institution of the management of 82 consecutive @entity174 and @entity174 of the proximal humerus treated with the Proximal Humeral Internal Locking System (Philos(  )) plate. MATERIALS AND METHODS: A total of 81 @entity1 with 82 proximal humerus @entity174 (one @entity1 had bilateral @entity174 ) were treated at our institution with open reduction and internal fixation with Philos(  ) plate from January 2008 to December 2012 and the clinico-radiological outcome was analysed. Twelve of these @entity1 also had a dislocation of the proximal humerus. According to the Neer classification, there were seven two-part @entity174 , 40 three-part @entity174 and 35 four-part @entity174 . All @entity1 received a similar physical therapy programme following internal fixation. Mean final follow-up was 32 months. Functional outcome was evaluated for each @entity1 using the Constant-Murley score; radiographic evaluation was also conducted and complications were recorded. RESULTS: At the end of the follow-up period, the mean Constant-Murley score for the injured side was 75 points (range 42-92); results were graded as excellent for eight @entity1 , good for 52, moderate for 17 and poor for five. Twenty-three @entity1 (28%) had complications during the follow-up period. Reoperation was required in 12 @entity1 . Complications included @entity2530 of the humeral head in 10 @entity1 (12%), varus positioning of the head in four @entity1 (4.8%), @entity5818 in three @entity1 (3.6%), secondary screw perforation in three @entity1 (3.6%), non-union of the @entity174 in two @entity1 (2.4%) and @entity281 in one @entity1 (1.2%). CONCLUSIONS: Open @entity6342 with the Philos(  ) plate was associated with good clinical outcomes provided the correct surgical technique was used. To better evaluate the real incidence of complications, it is important to follow @entity1 for more than one year after surgery as some complications may arise after this time.

@entity174 and XXXX of the proximal humerus: A retrospective analysis of 82 cases treated with the Philos(  ) locking plate.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture-dislocations', 'fracture'] @entity6342 :: ('MESH:D012784', 'Disease') :: ['reduction and internal fixation of proximal humeral fractures'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity5818 :: ('MESH:D019534', 'Disease') :: ['impingement syndrome'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity174 :: (MESH:D050723,Disease) :: ['fracture-dislocations']
