title: OSTEOSYNTHESIS OF PROXIMAL HUMERAL END FRACTURES WITH FIXED-ANGLE PLATE AND LOCKING SCREWS: TECHNIQUE AND RESULTS.
abstract: Describe the results of proximal humeral fractures surgically treated with the Philos locking plate system.
  
  
  METHODS
  Between March 2003 and October 2004 we prospectively reviewed 24 of 26 patients with proximal humerus fractures treated with a Philos plate. The mean follow-up time was 12 months and the mean age of patients was 57 years. Six patients had four-part proximal humerus fractures, 11 patients had three-part proximal humerus fractures, and nine patients had two-part proximal humerus fractures. Clinical evaluation was performed using the University of California at Los Angeles (UCLA) criteria.
  
  
  RESULTS
  The mean UCLA score was 30 points (17-34). All fractures showed union. Three patients showed fracture union at varus position. The mean UCLA score for these patients was 27 points.
  
  
  CONCLUSIONS
  Osteosynthesis with Philos plate provides a stable fixation method with good functional outcome.
authors.affiliation: Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
authors.forename: Marcio
authors.initials: M
authors.lastname: Cohen
authors.affiliation: Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
authors.forename: Marcus Vinicius
authors.initials: MV
authors.lastname: Amaral
authors.affiliation: Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
authors.forename: Martim
authors.initials: M
authors.lastname: Monteiro
authors.affiliation: Shoulder and Elbow Group, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
authors.forename: Bruno Lobo
authors.initials: BL
authors.lastname: Brandão
authors.affiliation: Master in Orthopedics at the Escola Paulista de Medicina (UNIFESP-EPM); Director, National Institute of Traumatology and Orthopedics (INTO, Instituto Nacional de Traumatologia e Ortopedia), RJ.
authors.forename: Geraldo Rocha
authors.initials: GR
authors.lastname: Motta Filho
keywords: Cohort studies; Fracture fixation, Internal; Humeral fractures; Prospective studies