{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T05:22:42Z","timestamp":1780550562204,"version":"3.54.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: Proximal humeral fractures account for approximately 5% of all fractures. New plating techniques have been developed to improve stability. The purpose of this study was to evaluate functional outcome following plate fixation with the Proximal Humeral Internal Locking System (PHILOS) and to analyze potential implant-related complications.\\r\\nMethods: The PHILOS plate was used for internal fixation of displaced proximal humeral fractures in 28 patients (20 females, 8 males; mean age 60.7\u00b112.9 years). Fractures were caused by low-energy trauma (fall from standing height) in 21 patients, and by an accident while skiing or cycling in seven patients. Involvement was on the right in 16 cases and on the left in 12 cases. According to the Neer classification, 8, 12, and 8 patients had displaced 2-, 3-, or 4-part fractures, respectively. All patients received a similar physical therapy program following internal fixation with the PHILOS plate. The patients were assessed clinically and radiographically after a mean follow-up of 25.2\u00b111.8 months. Functional outcome was assessed using the Constant-Murley score adjusted for age and gender. Range of motion and shoulder abduction strength were measured. The patients were also evaluated with the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire and a visual analog scale (VAS). Complications during the follow-up period were recorded.\\r\\nResults: Twenty fractures (71.4%) healed in good anatomical position. At the end of the follow-up period, the mean Constant-Murley score was 57.9\u00b121.7, and the mean age- and gender-adjusted Constant-Murley score was 67.5\u00b123.6. The results were excellent or good in 16 patients (57.1%), moderate in one patient (3.6%), and poor in 11 patients (39.3%). The mean DASH and VAS scores were 28.3\u00b124.3 and 75.4\u00b121.2, respectively. Eleven complications (39.3%) were seen during the follow-up period. Reoperation was required in eight patients (72.3%). Complications included avascular necrosis of the humeral head in two patients (7.2%), subacromial impingement in six patients (21.4%), loosening of a locking head screw in one patient (3.6%), and transiently decreased radial nerve sensation in two patients (7.2%). Subacromial impingement was mainly caused by the superior plate position.\\r\\nConclusion: Our results demonstrate that the PHILOS plate provides sufficient fracture stabilization in the treatment of proximal humeral fractures of elderly patients.\n\n\u00d6zet\n\nAma\u00e7: T\u00fcm k\u0131r\u0131klar\u0131n yakla\u015f\u0131k %5\u2019ini proksimal humerus k\u0131r\u0131klar\u0131 olu\u015fturur. Stabiliteyi art\u0131rmak i\u00e7in yeni plak teknikleri geli\u015ftirilmi\u015ftir. Bu \u00e7al\u0131\u015fmada, proksimal humerus k\u0131r\u0131klar\u0131nda Proksimal Humerus \u0130nternal Kilit Sistemi (Proximal Humeral Internal Locking System-PHILOS) pla\u011f\u0131 ile tespitin fonksiyonel sonu\u00e7lar\u0131 de\u011ferlendirildi ve implantla ili\u015fkili potansiyel komplikasyonlar incelendi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Ayr\u0131\u015fm\u0131\u015f proksimal humerus k\u0131r\u0131\u011f\u0131 olan 28 hastaya (20 kad\u0131n, 8 erkek; ort. ya\u015f 60.7\u00b112.9) PHILOS pla\u011f\u0131 ile internal tespit uyguland\u0131. K\u0131r\u0131k nedeni 21 hastada d\u00fc\u015f\u00fck enerjili travma (boy hizas\u0131ndan d\u00fc\u015fme), yedi hastada kayak ya da bisiklet kazas\u0131yd\u0131. K\u0131r\u0131k 16 hastada sa\u011f, 12 hastada sol taraftayd\u0131. Neer s\u0131n\u0131flamas\u0131na g\u00f6re, sekiz hastada iki par\u00e7a, 12 hastada \u00fc\u00e7 par\u00e7a, sekiz hastada d\u00f6rt par\u00e7a ayr\u0131\u015fm\u0131\u015f k\u0131r\u0131k vard\u0131. T\u00fcm hastalara PHILOS pla\u011f\u0131 ile internal tespitin ard\u0131ndan benzer fizik tedavi program\u0131 uyguland\u0131. Hastalar klinik ve radyografik olarak ortalama 25.2\u00b111.8 ayl\u0131k takip sonunda de\u011ferlendirildi. Fonksiyonel sonu\u00e7lar i\u00e7in ya\u015f ve cinsiyete g\u00f6re ayarlanm\u0131\u015f Constant-Murley skoru kullan\u0131ld\u0131. Hareket a\u00e7\u0131kl\u0131\u011f\u0131 ve omuz abd\u00fcksiyon kuvveti \u00f6l\u00e7\u00fcld\u00fc. Hastalar ayr\u0131ca Kol, Omuz ve El Sorunlar\u0131 Anketi (Disabilities of the Arm, Shoulder, and Hand-DASH) ve g\u00f6rsel analog skala ile de\u011ferlendirildi. Takip s\u0131ras\u0131nda g\u00f6r\u00fclen komplikasyonlar kaydedildi.\\r\\nSonu\u00e7lar: Yirmi k\u0131r\u0131k (%71.4) iyi anatomik konumda iyile\u015fti. Takip s\u00fcresi sonunda ortalama Constant-Murley skoru 57.9\u00b121.7, ya\u015f ve cinsiyete g\u00f6re ayarlanm\u0131\u015f Constant-Murley skoru ise 67.5\u00b123.6 bulundu. On alt\u0131 hastada (%57.1) m\u00fckemmel veya iyi, bir hastada (%3.6) orta, 11 hastada (%39.3) k\u00f6t\u00fc sonu\u00e7 elde edildi. Ortalama DASH ve g\u00f6rsel analog skala skorlar\u0131 s\u0131ras\u0131yla 28.3\u00b124.3 ve 75.4\u00b121.2 bulundu. Takip s\u0131ras\u0131nda 11 komplikasyon (%39.3) g\u00f6r\u00fcld\u00fc. Sekiz hastada (%72.3) yeniden ameliyat gerekti. Komplikasyonlar iki hastada (%7.2) humerus ba\u015f\u0131 avask\u00fcler nekrozu, alt\u0131 hastada (%21.4) subakromiyal s\u0131k\u0131\u015fma, bir hastada (%3.6) kilit vidas\u0131nda gev\u015feme ve iki hastada (%7.2) radial sinirde ge\u00e7ici duyu kayb\u0131 \u015feklinde idi. Subakromiyal s\u0131k\u0131\u015fma esas olarak pla\u011f\u0131n s\u00fcperior konumundan kaynaklan\u0131yordu.\\r\\n\u00c7\u0131kar\u0131mlar: Sonu\u00e7lar\u0131m\u0131z, ya\u015fl\u0131 hastalardaki proksimal humerus k\u0131r\u0131klar\u0131nda PHILOS pla\u011f\u0131 ile yeterli k\u0131r\u0131k stabilizasyonu sa\u011flanabilece\u011fini g\u00f6stermektedir.<\/jats:p>","DOI":"10.3944\/aott.2010.2270","type":"journal-article","created":{"date-parts":[[2010,5,12]],"date-time":"2010-05-12T14:27:30Z","timestamp":1273674450000},"page":"1-6","source":"Crossref","is-referenced-by-count":54,"title":["Functional outcome and complications following PHILOS plate fixation in proximal humeral fractures"],"prefix":"10.5152","volume":"44","author":[{"given":"Emanuel","family":"V. Geiger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Maier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Kelm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Wutzler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Seebach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Marzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2344\/2301","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:54Z","timestamp":1763463414000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2270","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}