Functional outcome of Proximal Humerus Fracture Treated with Philos Plate at Tash Over Three Years
| dc.contributor.advisor | Natan Wondossen | |
| dc.contributor.advisor | Melese Gardie | |
| dc.contributor.author | Adonias Ager | |
| dc.date.accessioned | 2026-06-22T10:58:23Z | |
| dc.date.available | 2026-06-22T10:58:23Z | |
| dc.date.issued | 2025-10-16 | |
| dc.description.abstract | Introduction: Proximal humerus fractures hold a significant portion of upper limb injuries, particularly among older adults and individuals exposed to high-energy trauma. Although the PHILOS (Proximal Humerus Interlocking System) plate has become a frequently accepted fixation method due to its angular stability and favorable functional outcomes, its practical use in Ethiopia remains held down by resource constraints, postoperative follow-up challenges, and variability in rehabilitation services. This study discovered the functional outcomes, union rates, and complication profile of proximal humerus fractures treated with PHILOS plates at Tikur Anbesa Specialized Hospital (TASH) over three years period. Methods: A retrospective cross sectional study was conducted on 48 adult patients who underwent PHILOS plate fixation for proximal humerus fractures at TASH between November 2021 and October 2024. Demographic, clinical, surgical, and radiographic data were extracted from medical records and described in descriptive analysis. Functional outcomes were assessed using the Constant-Murley score. Patients with at least 1year of followed-up were included in the functional outcome analysis. Results: The majority of patients were female (60%), with the 50–59-year age group most commonly affected. Falls (52.1%) were the leading cause of injury. Two-part fractures were the most common pattern (58.3%). Fracture union at one year was achieved in 91.7% of patients. Superficial infection (12.5%) and implant failure (10.4%) were the most frequent complications. The mean Constant-Murley score was 80 and 89.5% of patients demonstrated good to excellent outcomes. Conclusion: PHILOS plate fixation provides favorable functional outcomes and acceptable union rates for proximal humerus fractures in the Ethiopian context, despite systemic barriers. Fracture union rate and proportion of complications are comparable with regional and international studies. This study provides essential evidence to support improved fracture management with comparable functional outcome to other regional and international studies. This study provides essential evidence to support improved fracture management with comparable functional outcome to other regional and international studies. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/8275 | |
| dc.language.iso | en | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Proximal humerus fracture | |
| dc.subject | PHILOS plate | |
| dc.subject | functional outcome | |
| dc.subject | Constant-Murley score | |
| dc.subject | union rate | |
| dc.subject | Ethiopia | |
| dc.subject | Tikur Anbesa Specialized Hospital. | |
| dc.title | Functional outcome of Proximal Humerus Fracture Treated with Philos Plate at Tash Over Three Years | |
| dc.type | Thesis |