A CASE REPORT ON SALVAGE OF FAILED INTERNAL FIXATION OF PROXIMAL HUMRUS FRACTURE USING FIBULAR STRUT GRAFT.

Proximal humerus fractures are common problems plaguing in geriatric population. Approximately half of all proximal
humeral fractures occur due to fall usually at ground level. (Low velocity trauma). In younger individuals fractures
occurring because of higher-energy trauma such as a fall from a height, motor vehicle accidents, sports, or assaults. The proximal humerus
fracture because of three loading modes: compressive loading of the glenoid onto the humeral head, bending forces at the surgical neck, and
tension forces of the rotator cuff at the greater and lesser tuberosities. Most proximal humeral fractures are treated nonoperatively. However,
surgical treatment is becoming more popular, with development of modern implant (PHILOS plate). Implant failure is common complication
occur due to improper xation, osteoporotic bone, early mobilization, non-union and varus malalignment. Various modality available for its
management i.e., Hemiarthroplasty, reverse shoulder arthroplasty and ORIF + bone graft. IN this case report 60-year male patient with right side
proximal humerus fracture treated with PHILOS plating. At 6 week follow up radiograph suggest implant failure. Patient was posted for revision
surgery ORIF + platting and bular strut graft was done.