Background: The increased incidence of osteoporosis and advanced age predispose to an increase in Proximal Humerus fractures. It accounts for about 4-5% of all fractures and is the third most common fracture in patients above 60 yrs of age. PHILOS(Proximal Humerus Internal Locking System ) plates are biomechanically better suited for fixation of proximal humerus fracture and provide angular stability and locking screw anchorage in weak osteoporotic bones. The present study was done to evaluate the role of PHILOS plate in management of proximal humerus fracture in adults at tertiary health care center.

Material and Methods: In present study patients with fractures of proximal humerus were treated surgically with PHILOS plate. Pendular exercises and assisted and passive active movements were started from the third postoperative day. Assessment of shoulder function was done using Constant and Murley scoring system at three months.

Results: Total 30 patients were included in present study. Mean age of the patients was 50.30 ± 9.23 years. Male patients (73 %) were common than female patients (27 %). Road traffic accident (53 %) was most common mode of injury. According to Neer’s classification, 3 part fractures (53 %) was most common, followed by 2 part fractures (33%). Assessment of shoulder function was done using Constant and Murley scoring system, good function was noted in 53% patients, followed by fair function in 23% patients. excellent and poor function was noted in 17% and 7% patients respectively. 2 patients had stiffness and 1 had impingement. No malunion, avascular necrosis, infection or postoperative loose implant noted in patients.

Conclusion: Proximal humerus internal locking system (PHILOS) plate is an advantageous implant in fixing proximal fractures of the humerus as it provides stable anatomical fracture fixation, early mobilization and better patient satisfaction.

Abhijit M. Chandge has completed his M.S, Orthopaedics from prestigious medical college Seth G. S. Medical College, K.E.M. Hospital, Mumbai, India,25 years back. He is working as senior orthopaedic surgeon at Dr.Hedgwar hospital, Aurangabad, Maharashtra state, India. His speciality of interest are primary and revision joint replacement surgery, complex trauma and arthroscopic surgery. He has more than 15 articles published in international  Orthopaedic journals and given more than 100 talks at various seminars and conferences.