Totally Displaced Surgical Neck of Humerus Fracture Treated Successfully with PHILOS Plate Fixation at Sivam Hospital, Chennai

The humerus is the upper arm bone connecting the shoulder to the elbow. The surgical neck is the region just below the humeral head and is one of the most commonly fractured areas around the shoulder joint.

These fractures commonly occur due to:

• Road traffic accidents

• Falls in elderly patients

• Sports injuries

• High-impact trauma

When the fracture becomes totally displaced, the broken bone fragments move away from their normal position, leading to:

• Severe shoulder pain

• Swelling

• Restricted arm movement

• Weakness

• Difficulty performing routine activities

Without proper treatment, displaced fractures can lead to long-term stiffness, deformity, and poor shoulder function.

What is a Surgical Neck of Humerus Fracture?

Why Was Surgery Required?

In minimally displaced fractures, conservative treatment such as immobilization may sometimes be sufficient. However, in totally displaced fractures, surgical fixation is often necessary to restore proper anatomy and shoulder mechanics.

The goal of surgery is to:

• Restore bone alignment

• Stabilize the fracture

• Allow early rehabilitation

• Improve long-term shoulder function

For this case, the orthopaedic team at Sivam Hospital performed fixation using a PHILOS plate system.

What is PHILOS Plate Fixation?

Surgical Procedure Performed at Sivam Hospital

The displaced fracture fragments were carefully realigned under imaging guidance. A PHILOS locking plate was then positioned and secured using multiple screws to provide stable fixation.

Post-operative X-rays confirmed:

• Proper alignment of the humerus

• Stable implant positioning

• Restoration of shoulder anatomy

The surgery was performed with precision to ensure optimal recovery and functional outcomes.

Benefits of PHILOS Plate Fixation

Accurate Reduction

Restores the natural alignment of the fractured bone.

Stable Fixation

Provides strong internal support during healing.

Faster Recovery

Allows earlier physiotherapy and rehabilitation.

Better Functional Outcome

Improves shoulder movement, strength, and daily activity performance.

Reduced Risk of Secondary Displacement

Locking screws help maintain fracture stability even during recovery.

Recovery After Shoulder Fracture Surgery

Recovery after proximal humerus fracture surgery depends on:

• Severity of fracture

• Patient age and bone quality

• Physiotherapy compliance

• Overall health condition

A structured rehabilitation program helps patients gradually regain:

• Shoulder mobility

• Muscle strength

• Functional independence

Early medical attention and expert surgical care play an important role in achieving better recovery outcomes.

Advanced Shoulder Fracture Treatment in Chennai

At Sivam Hospital, we specialize in:

• Trauma care

• Fracture fixation surgery

• Orthopaedic trauma management

• Joint and bone care

• Rehabilitation-focused recovery

Our orthopaedic team focuses on delivering advanced treatment with patient-centered care for better clinical outcomes.

Frequently asked questions

1. What is a surgical neck of humerus fracture?

A surgical neck of humerus fracture is a break in the upper arm bone just below the shoulder joint. It commonly occurs after falls, accidents, or trauma.

2. What does “totally displaced fracture” mean?

A totally displaced fracture means the broken bone fragments have moved out of their normal alignment, often requiring surgical treatment for proper healing.
3. When is surgery needed for a shoulder fracture?

Surgery is usually recommended when:

• The fracture is displaced

• Bone alignment is severely affected

• Shoulder stability is compromised

• Conservative treatment may not provide good functional recovery
  

4. What is PHILOS plate fixation?

PHILOS (Proximal Humerus Internal Locking System) is a specialized locking plate system used to stabilize proximal humerus fractures with multiple locking screws.

5. What are the advantages of PHILOS plate surgery?

Benefits include:

• Stable fixation

• Accurate bone alignment

• Better healing support

• Early shoulder mobilization

• Improved recovery outcomes
  

6. Is PHILOS plate fixation safe?

Yes. PHILOS plate fixation is a widely used and advanced orthopaedic technique for managing complex shoulder fractures when performed by experienced orthopaedic surgeons.

7. How long does recovery take after shoulder fracture surgery?

Recovery varies depending on:

• Severity of fracture

• Age and bone quality

• Physiotherapy participation

• Overall health

Most patients gradually improve over several weeks to months with rehabilitation.

8. Will physiotherapy be required after surgery?

Yes. Physiotherapy plays an important role in restoring:

• Shoulder movement

• Muscle strength

• Joint flexibility

• Functional independence
  

9. Can elderly patients undergo PHILOS plate fixation?

Yes. PHILOS plates are especially useful in elderly patients because locking screws provide better fixation even in weaker or osteoporotic bone.

10. Where can I get shoulder fracture treatment in Chennai?

Sivam Hospital, Chennai provides advanced orthopaedic trauma care, fracture fixation surgery, and rehabilitation-focused recovery for shoulder fractures and other complex orthopaedic injuries.

Consult Sivam Hospital for Shoulder Fracture Treatment

If you experience severe shoulder pain after a fall, accident, or trauma, early diagnosis and treatment are important to prevent complications.

Contact Us

📍 Ullagaram, Madipakkam, Chennai
📞 044 22424742
🌐 www.sivamhospitals.com