Proximal Humerus Plate

Proximal Humerus Plate (ASLP)

3.5 mm Philos Plate

  • Surgical Consultation: A thorough consultation with a qualified orthopedic surgeon is essential prior to the procedure. During this consultation, the surgeon will evaluate your specific condition, assess the fracture pattern, and determine the suitability of the Proximal Humerus Plate for your case. They will discuss the procedure in detail, including the expected outcomes, potential risks, and alternative treatment options.

  • Diagnostic Tests: Your surgeon may request various diagnostic tests, such as X-rays or CT scans, to further evaluate the extent of the proximal humerus fracture and assess the surrounding structures. These tests provide crucial information for surgical planning and help guide the placement of the Proximal Humerus Plate during the procedure.

  • Medical Evaluation: A comprehensive medical evaluation is typically conducted before any surgery. This may include a review of your medical history, physical examination, and possibly additional tests or consultations with other specialists to ensure you are in optimal overall health for the procedure. It is important to disclose any pre-existing medical conditions, allergies, or medications you are taking to your healthcare provider.

  • Pre-operative Preparations: Your surgeon will provide you with specific pre-operative instructions. These may include fasting requirements before surgery, restrictions on medication or supplements, and guidelines for pre-operative skin preparation. It is important to closely follow these instructions to ensure a safe and successful procedure.

  • Informed Consent: Before undergoing any surgical procedure, you will be asked to provide informed consent. This involves a detailed discussion with your surgeon about the risks, benefits, and potential complications associated with the use of the Proximal Humerus Plate. You will have the opportunity to ask questions and make an informed decision about proceeding with the surgery.
  • Patient Preparation and Incision: The patient is positioned appropriately for the procedure, typically under general anesthesia. The surgical site is cleansed and sterilized. An incision is made over the proximal humerus, allowing access to the fractured bone.

  • Fracture Reduction and Preparation: The fractured bone fragments are carefully aligned and reduced to their proper anatomical position. Any debris or damaged tissue around the fracture site is cleared to create a clean environment. Specialized instruments are used to shape and prepare the bone surfaces for optimal plate placement.

  • Plate Placement and Screw Fixation: The Philos Plate, selected based on the patient's anatomy and fracture pattern, is positioned along the lateral aspect of the proximal humerus. The plate is contoured to match the shape of the bone. Screws, both locking and non-locking, are inserted through the plate and into the bone to secure it in place. The combination of locking and non-locking screws provides stability and compression as needed.

  • Final Adjustments and Testing: The surgeon ensures proper positioning and alignment of the plate and screws. They assess the stability and integrity of the construct by performing range-of-motion tests and assessing fracture stability under fluoroscopy or X-ray guidance. Any necessary adjustments are made to optimize the fixation and alignment.

  • Closure and Post-operative Care:After confirming the satisfactory placement and stability of the plate, the incision is closed using sutures or staples. Sterile dressings are applied to the wound site. Post-operative care instructions, including pain management, wound care, and rehabilitation, are provided to the patient. Follow-up appointments are scheduled to monitor healing and assess progress.
  • Wound Care: Proper care of the surgical incision is crucial for optimal healing. Your healthcare provider will provide specific instructions on how to clean and dress the wound. It is important to keep the incision site clean, dry, and free from infection. Report any signs of infection, such as increased redness, swelling, or drainage, to your healthcare provider promptly.

  • Pain Management: It is normal to experience pain and discomfort after surgery. Your healthcare provider will prescribe pain medications to manage post-operative pain. Follow the prescribed dosage and schedule, and communicate any concerns or inadequate pain control to your healthcare provider. Additionally, the use of ice packs or heat therapy as recommended may help alleviate swelling and discomfort.

  • Rehabilitation and Physical Therapy: Depending on the specific fracture and your surgeon's recommendation, you may be referred to a physical therapist for rehabilitation exercises. Physical therapy plays a vital role in restoring range of motion, strength, and function to the affected shoulder. Follow the prescribed exercises and attend all recommended therapy sessions to promote optimal recovery.

  • Weight-Bearing and Activity Restrictions: Your surgeon will provide guidelines regarding weight-bearing and activity restrictions following the surgery. It is crucial to adhere to these restrictions to protect the healing bone and promote successful outcomes. Gradually increase activities as advised by your healthcare provider, ensuring that you do not strain or place excessive stress on the affected shoulder.

  • Follow-up Appointments: Regular follow-up appointments with your healthcare provider are essential to monitor your progress and ensure proper healing. During these appointments, X-rays may be taken to evaluate the positioning and stability of the Proximal Humerus Plate. Attend all scheduled follow-up appointments and promptly report any concerns or complications to your healthcare provider.