Title

PHILOS plating versus percutaneous K-wire fixation in proximal humerus fracture management

Authors

MD. Moniruzzaman^1,*, Krishna Priya Das², Saraf Anjum³, S.K. Murad Ahmed², MD. Jiaul Islam², MD. Rafiqul Islam⁴ & Bipul Kumar Das⁴

Affiliation

¹Department of Orthopaedic Surgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh; ²Department of Orthopaedic Surgery, Bangladesh Medical University, Dhaka, Bangladesh; ³Department of Obstetrics and Gynaecology, Dhaka Medical College, Dhaka, Bangladesh; ⁴Department of Hand & Microsurgery, National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh; *Corresponding author

Email

MD. Moniruzzaman - E-mail: monir65137@gmail.com; Phone: +88 01733559874
Krishna Priya Das - E-mail: kpdas74@bsmmu.edu.bd; Phone: +88 01717552911
Saraf Anjum - E-mail: saraf0957@gmail.com; Phone: +88 01776849178
S.K. Murad Ahmed- E-mail: drskmurad@gmail.com; Phone: +88 0145520901
MD. Jiaul Islam - E-mail: rkb.dmc@gmail.com; Phone: +88 01403199876
MD. Rafiqul Islam - E-mail: drrafiqulislam396@gmail.com; Phone: +88 0188769043
Bipul Kumar Das - E-mail: bipul41mmc@gmail.com; Phone: +88 01900817832

Article Type

Research Article

Date

Received May 1, 2026; Revised May 31, 2026; Accepted May 31, 2026, Published May 31, 2026

Abstract

Functional outcomes of PHILOS plating versus percutaneous K-wire fixation for managing proximal humerus fractures (PHFs) are debatable since years. Hence, a prospective observational study of 42 patients revealed that PHILOS plating resulted in significantly earlier radiological union and superior shoulder function scores, though with longer operative times and greater blood loss. K-wire fixation was associated with a shorter surgical duration and minimal blood loss with a higher incidence of complications like malunion and pin tract issues. Thus, we show that PHILOS plating offers a more stable fixation for optimized functional recovery, while K-wire fixation remains a viable, less invasive option for selected cases.

Keywords

Proximal humerus fracture, proximal humeral internal locking system (PHILOS) plating, K-wire fixation.

Citation

Moniruzzaman et al. Bioinformation 22(5): 2900-2904 (2026)

Edited by

Rashmi Laddha

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.