•  
  •  
 

Document Type

Original Article

Abstract

Objectives: To compare the results of Percutaneous K-Wires versus PHILOS plate in terms of activity, shoulder function, radiological assessment and complications. Methods: Thirty patients randomly divided into two groups with closed envelop method between July 2021 to July 2022, Group (A), The K-Wires group, 7 males and 8 females, with mean age 68 years, and Group (B), The PHILOS group, 9 males and 6 females, with mean age 66 years. Included patients were elderly with recent, closed, two, three and four parts fracture. Excluded patients were open fractures, old, nonunited, malunited or patients with contraindications of general anesthesia. Results: Both groups achieved radiological union, functional results at one year using Constant Murley Score, mean operative time in plate group is around two times that of the K-wires group (153 and 79 min), blood loss was 4 times more in the plate group (413 and 86 ml). The plating group had a better neck-shaft angle (mean was 128° and 118° for K-wires). There were 3 cases (20%) pin loosening and malunion in the K-wires group, 2 cases (6.7%) of deep infection in the plate group that required debridement in one and reosteosynthesis by wires in the other one. Mean Constant score after one year was nearly the same (K-wires 91 and plates 88.8 points). Conclusion: Percutaneous K-wires give good results in comparison to ORIF with PHILOS with less operative time and intraoperative blood loss with no risk of deep infection.

Keywords

proximal humerus fracture, PHILOS, and K-wires

Subject Area

Orthopedics

Download

Share

COinS