A comparative study of closed reduction and fixation with percutaneous k-wires versus open reduction and internal fixation with philos plate for proximal humerus fractures in the elderlyDr. Kumar Anshuman and Gourishankar Patnaik

The aim of this study is to compare and evaluate functional, clinical and radiological outcome achieved by open reduction and internal fixation by Philos plate & percutaneous k-wire fixation of proximal humerus fracture in the elderly patients. In conclusion, locking Compression plate has a distinct advantage in treatment of proximal humeral fractures. This is due to angular stability, compression of fragment particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization. Percutaneous k-wire fixation can be a viable option in elderly patients where several comorbidities. They are particularly useful where we are dealing with patients who have constraint of finances and anesthestic risks of long hours of surgery.