Jebmh.com Original Research Article J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 6/Issue 43/Oct. 28, 2019 Page 2798 Management of Proximal Humerus Fracture by Using Proximal Humerus Locking Compression Plate Mohan Babu Lebaku 1 , Madhava Reddy Indla 2 , Venugopal S. M. 3 , Deepak 4 , Rajesh G. 5 1 Assistant Professor, Department of Orthopaedics, Balaji Institute of Research and Rehabilitation for Disabled, Andhra Pradesh. 2 Assistant Professor, Department of Orthopaedics, Balaji Institute of Research and Rehabilitation for Disabled, Andhra Pradesh. 3 Assistant Professor, Department of Orthopaedics, Balaji Institute of Research and Rehabilitation for Disabled, Andhra Pradesh. 4 Assistant Professor, Department of Orthopaedics, Balaji Institute of Research and Rehabilitation for Disabled, Andhra Pradesh. 5 Senior Resident, Department of Orthopaedics, Balaji Institute of Research and Rehabilitation for Disabled, Andhra Pradesh. ABSTRACT BACKGROUND The field of orthopaedic surgery has been creating new information, establishing new principles of treatment, and solving both new and old problems of the musculoskeletal system. Fractures of proximal humerus are still unsolved fractures in many ways. Disagreement exists regarding reliability of classification system. The indication for surgical management continues to be modified. Fixation techniques are myriad, and none is ideal for all cases. Fractures of proximal humerus are not uncommon especially in older age group. They have been reported to account for 4% - 5% of all fractures. We wanted to study the clinical profile, pattern, and functional outcome of fracture proximal humerus. METHODS This is a cross sectional study on the surgical management of proximal humerus fractures by using proximal humeral locking compression plate. Convenient sampling technique was used for this study. A total of 25 cases were included for the study after careful observation of inclusion criteria. Pre-structured questionnaires were adapted to collect the details from the study individuals. Data was entered in the MS Excel and analysed by means and proportions with appropriate statistics. RESULTS Proximal humerus fractures were found to have high incidence in the 40 - 60 years age group. Out of these 25 cases, there were 20 (80%) males and 5 (20%) females, ratio of males to female was 4:1. The age incidence of the study was as follows- almost equal number of study subjects reported with right 13 (52%) and left 12 (48%) sided shoulder (humerus) involvement. None had both the sides involved. CONCLUSIONS The proximal humerus fractures are a result of trauma and road traffic accidents are major causes of trauma. Proximal humerus fractures are seen in all age groups from 3 rd decade to 8 th decade and the major cause was road traffic accidents (high energy injury). It was more common in males; whereas in women, proximal humerus fractures are due to osteoporosis mostly seen in 5 th decade and above. Locking Proximal Humeral Plate (LPHP)/PHILOS-Plate allows stable fixation in all Neer’s fracture types of proximal humerus fracture and dislocation of proximal humerus. Satisfactory reduction of the fracture and optimal positioning of the plate under image control is of paramount importance for obtaining good results. In the medial comminuted fractures of the proximal humerus there is a need for additional fixation with inferomedial locking screws. KEYWORDS Proximal Humerus, PHILOS Plate Corresponding Author: Dr. L. Mohan Babu, #101, Tirupathi Towers, Near S. G. S. Arts College, Tirupathi, Andhra Pradesh. E-mail: mohanbortho28@gmail.com DOI: 10.18410/jebmh/2019/581 Financial or Other Competing Interests: None. How to Cite This Article: Lebaku MB, Indla MR, Venugopal SM, et al. Management of proximal humerus fracture by using proximal humerus locking compression plate. J. Evid. Based Med. Healthc. 2019; 6(43), 2798-2802. DOI: 10.18410/jebmh/2019/581 Submission 05-10-2019, Peer Review 13-10-2019, Acceptance 25-10-2019, Published 28-10-2019.