Complicaciones a corto y medio plazo de las fracturas de extremo proximal de húmero tratadas mediante placa PHILOS

Abstract

Objective: To analyze the impact of short-term complications in fractures of the proximal end of humerus in two, three and four fragments, treated by the system of plates with locking screws or PHILOS. Patients and methodology: This retrospective analysis was performed to analyse the complications in 43 patients (17 men and 26 women) with a mean age of 61 years and a minimum follow-up between 12 and 24 months. Results: The incidence of complications was 36%, showing four cases of removal or protrusion of the screws, four cases of deep infection, two cases of nonunion, two cases of avascular necrosis of the humeral head and other minor complications. These complications are most often associated with fractures and patients four fragments over 60 years. Conclusion: Despite the use of PHILOS plate is a good therapeutic choice for proximal humerus fractures, there is a high rate of complications, especially in complex fractures and elderly patients.