Bonesmith LiguPrincipal is good reduction and early mobility. Philos can be put with screws anterior to posterior too. Infact when one is not very experienced one tend to put philos anteriorly only. (Hope experienced guys will second me). I feel bone will unite fine and will look on X-ray good too but functionally I am sure will be same as hanging cast treatment.
Puttachar Niranjan MurthyShoulder is most versatile and very sensitive joint to perform various functions in different directions. At the same time fracture union is very fast and assured in shoulder fractures. Hence I practice with the protocol “lesser interference in the joint better is the outcome”. My choice of treatment for this hanging cast and early movement.
M Bukhsh ShahwaniDid nothing to R cuff. I have many fractures with only k wire with excellent results. Thanks for valuable comments though i have completed my training in a advanced centre . But no working in a centre where i have to buy my own implant range I will consider philos
Alladu Hemanth KumarDoc.philos plates are available in indian version s for a viable cost. You can look out for the next cases. We do understand the on table situations. These discussions are to make us better not to hurt anybody.
Javed ShaikhIt may heal But main prob with shoulder is stiffness If u dnt fix stable enough to start early physio, then its as gud as coservative Mx. I think inf subluxation is due to drltoid weakness. Plz check fr axillary Nr .
Ashwini SoodY everbody is harping Philos philos philos ! There was a time when such#swere fixed with ordinary T plstes with good results. I thing Philos is designed by white people MORE for their aging osteoporotic bones not for all proximal humerus # especially in Asia !