Best ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery Hospital
At Medicover Hospitals, the open surgical approach is used for ORIF of Proximal Humerus Fracture with PHILOS Plate. Our team of MS and DNB-qualified orthopaedic surgeons perform this procedure. This approach often results in reduced blood loss, aiding in quicker recovery.
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What is Orif of Proximal Humerus Fracture With Philos Plate?
Open Reduction and Internal Fixation (ORIF) of Proximal Humerus Fracture with PHILOS Plate is a surgical procedure. It involves fixing a broken upper arm bone (humerus) near the shoulder. The PHILOS Plate is a special metal plate used to hold the bone fragments in place. This helps in proper healing and restoring function.
This surgery is needed when the proximal humerus is fractured due to trauma or injury. If untreated, it can lead to improper healing, pain, and limited arm movement. ORIF with PHILOS Plate is essential for severe fractures. Modern surgical approaches include minimally invasive techniques and arthroscopy. These methods aim to reduce recovery time and improve outcomes.

Orif of Proximal Humerus Fracture With Philos Plate Doctors Near You
Discover expert orthopedics for ORIF of proximal humerus fracture with PHILOS plate at Medicover Hospitals. Choose your city and book a consultation to start your recovery journey today.
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Complete Guide To Orif Of Proximal Humerus Fracture With Philos Plate
Everything you need to know about the procedure, preparation, and recovery
ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery Indications
Doctors recommend ORIF of proximal humerus fracture with PHILOS plate when non-surgical treatments are insufficient. This procedure is often advised for complex fractures or when precise alignment is necessary for healing.
Severe Displacement
Patients experience significant shoulder pain and limited arm movement. X-rays or CT scans reveal the bone fragments are severely displaced. When immobilisation and physical therapy do not improve alignment, surgery is considered.
Comminuted Fractures
Patients report intense pain and swelling around the shoulder. Imaging shows multiple bone fragments. When conservative measures fail to restore function, surgical intervention is needed to stabilise the fracture.
Open Fractures
Visible bone through the skin and bleeding are common symptoms. Doctors find open wounds and bone exposure upon examination. Immediate ORIF is required to prevent infection and ensure proper healing.
Failed Conservative Treatment
Persistent pain and dysfunction despite weeks of immobilisation and therapy indicate failure. Follow-up X-rays show no improvement in fracture alignment. Surgery becomes necessary to achieve proper healing.
Vascular Compromise
Patients may experience numbness or coldness in the arm. Tests reveal compromised blood flow due to fracture displacement. Surgery is needed to restore circulation and prevent further complications.
How to Prepare for ORIF of Proximal Humerus Fracture with PHILOS Plate?
Proper preparation is crucial for a successful ORIF of Proximal Humerus Fracture with PHILOS Plate. It ensures safety and aids in a smoother recovery.
- Medication Review: Inform your doctor about all medications. Stop NSAIDs, anticoagulants, and herbal supplements as advised.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the surgery due to general anaesthesia.
- Pre-Surgery Bathing: Take a shower with antiseptic soap the night before and the morning of the surgery.
- Clothing: Wear loose, comfortable clothing on the day of surgery. It will be easier to change post-surgery.
- Transportation: Arrange for someone to drive you home after the procedure, as you will not be able to drive.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before surgery to reduce complications.
- Pre-Op Instructions: Follow any additional instructions given by your healthcare provider for optimal results.
ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery (Step-by-Step)
This procedure is performed by orthopaedic surgeons. It typically takes 2-3 hours and is done under general anaesthesia.
- Incision: A 5-8 cm incision is made over the shoulder to access the fracture site.
- Exposure: The surgeon carefully retracts muscles and tissues using retractors to expose the fractured humerus.
- Fracture Reduction: The broken bone fragments are aligned using reduction forceps to restore the normal anatomy.
- Plate Placement: A PHILOS plate is positioned over the fracture. The plate is contoured to fit the bone surface.
- Screw Fixation: Screws are inserted through the plate into the bone using a drill and screwdriver to secure the fracture.
- Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.
- Postoperative Care: The patient is monitored as they wake from anaesthesia and may experience some pain and swelling.
Who Performs ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery?
This surgery is performed by orthopaedic surgeons. They specialise in diagnosing and treating musculoskeletal issues. Their expertise ensures proper alignment and healing of fractures.
Recovery After ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery
Recovering from ORIF of a proximal humerus fracture with a PHILOS plate involves a gradual return to normal activities. Initial rest and care are crucial for healing. Follow your doctor's advice for a smooth recovery.
Day 1-3:
- Rest and keep the arm elevated to reduce swelling.
- Use a sling as instructed to support the arm.
- Consume soft, nutritious foods like curd, dal-rice, and soups to aid recovery.
Day 4-7:
- Begin gentle finger and wrist movements to prevent stiffness.
- Continue with a balanced diet including khichdi and moong dal for protein intake.
- Avoid lifting heavy objects or straining the arm.
Week 2-4:
- Start physiotherapy exercises as recommended by your doctor.
- Gradually increase the range of motion exercises.
- Return to light activities, but avoid strenuous tasks.
Phase 1 (Month 1-2):
- Continue physiotherapy to improve shoulder mobility.
- Incorporate more solid foods into your diet, focusing on calcium-rich options.
- Resume work or school if it doesn't involve heavy lifting or extensive arm use.
Phase 2 (Month 3-6):
- Progress to strengthening exercises under guidance.
- Gradually return to normal activities as comfort allows.
- Full recovery may take up to 6 months.
When to Seek Urgent Help:
- Severe pain or swelling that doesn't improve with medication.
- Numbness or tingling in the arm or fingers.
- Signs of infection like fever or redness around the incision.
Benefits of ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery
Open Reduction and Internal Fixation (ORIF) using a PHILOS plate is a surgical method to treat proximal humerus fractures. It offers several benefits:
- Stability: The PHILOS plate provides strong fixation, allowing for early movement.
- Alignment: Helps in restoring the natural anatomy of the shoulder.
- Healing: Promotes proper bone healing by maintaining the correct position.
- Functionality: Aims to improve shoulder function and range of motion.
Risks and Complications of ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery
While ORIF with a PHILOS plate can be effective, it carries certain risks and complications:
- Common - Infection: Risk of infection at the surgical site.
- Common - Nerve Injury: Potential for nerve damage leading to numbness or weakness.
- Rare - Non-union: The bone may not heal properly, requiring further intervention.
- Rare - Hardware Irritation: Discomfort from the plate or screws.
- Rare - Avascular Necrosis: Loss of blood supply to the bone can lead to tissue death.
- Common - Stiffness: Reduced shoulder mobility post-surgery.
Cost of ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery
The cost for ORIF of Proximal Humerus Fracture with PHILOS Plate Surgery at Medicover Hospitals ranges from Rs.12,299 to Rs.39,589, depending on the ward category. Prices are transparent and vary by the type of accommodation chosen.
We offer insurance and TPA support, including CGHS, ESI, and major TPAs, with a cashless facility available. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does ORIF of Proximal Humerus Fracture with PHILOS Plate surgery cost at Medicover Hospitals?
The cost for ORIF of Proximal Humerus Fracture with PHILOS Plate surgery at Medicover Hospitals ranges from Rs. 12299 to Rs. 39589, depending on the facility.
2. Is ORIF of Proximal Humerus Fracture with PHILOS Plate surgery covered under health insurance at Medicover?
ORIF of Proximal Humerus Fracture with PHILOS Plate surgery may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will my shoulder mobility be affected after ORIF?
Post-surgery, shoulder mobility may be temporarily restricted. Physiotherapy is crucial to regain full range of motion over time.
4. Can I lift weights after ORIF of Proximal Humerus?
Weight lifting should be avoided for at least 6 weeks post-surgery. Gradual reintroduction under medical guidance is recommended.
5. What are common complications of PHILOS Plate surgery?
Potential complications include infection or nerve damage. Regular follow-ups help in early detection and management of these issues.
6. How soon can I return to work after ORIF?
Returning to work depends on the nature of your job. Desk jobs may resume in 4-6 weeks, while physical jobs may require longer.
7. What diet should I follow post-surgery?
A balanced diet with protein-rich foods like dal-rice, curd, and vegetables aids recovery. Hydration and calcium-rich foods are also beneficial.