Jornal de Trauma e Tratamento

PHILOS Plate: Is it the Panacea for all Proximal Humerus Fractures?

Abstract

Ravi Kumar Gupta, Anubhav Malhotra, Pawan Kumar and Gladson David Masih

The problem of fixation of 3 and 4 part displaced proximal humerus fractures was thought to be greatly solved with the evolution of proximal humerus internal locking system (PHILOS). We report a case of migration of screws of PHILOS plate into the shoulder joint, where salvage was done with hemi-arthroplasty. The decision for osteosynthesis in complex 3 and 4 part fracture needs a high index of awareness of the potential complications of PHILOS.