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- Title
The Evaluation of Functional Outcome of the Surgical Management of Proximal Humerus Fractures by Using Proximal Humeral Locking Compression Plate.
- Authors
Choudhary, Suresh; Vaishy, Arun; Sharma, Pradeep K.; Kuri, Mahaveer Prasad; Vardha Ram; Kumawat, Naveen
- Abstract
Background: Proximal humeral fracture is the 3rdmost common fracture among the elderly population account for approximately 5% of all fractures. More than 70% of patients with these fractures are of sixty years of age above of age out of them 75% are women3. Significant controversy present regarding the best methods of treating displaced proximal humerus fractures, which recently moved towards internal fixation by locking plates. Given study is related to evaluation of functional outcome of the surgical management of proximal humerus fractures by using proximal humeral locking compression plate. Methods: This prospective study had been conducted on 35 Patients with proximal humerus fractures treated with a proximal humeral locking compression plate at Dr. S.N. Medical college, Jodhpur from August 2016 to December 2018. Results: Our study is male predominant with high incidence in the 40 to 60 age group involving both shoulders almost equally. Majority of patient were having RTA (68.6%) followed by fall from height (20%). According to Neer's classification majority were 3-part fractures - 58%. In our series excellent results were noted in 7 patients (20%), good results in 14 (40%), moderate results in 11 (32%) and poor results in only 3 patients (8%), by Constant-Murley Scoring system.Mean time taken for fracture union in our study was 9weeks (with range of 6 to 12 week). Conclusion: Internal fixation with PHILOS plate is well founded operative option for displaced proximal humerus fracture which provides stable fixation, particularly in comminuted fractures that allows early mobilization in postoperative period.
- Subjects
HUMERUS injuries; INTRAMEDULLARY fracture fixation; INTERNAL fixation in fractures; FRACTURE fixation; TREATMENT of fractures; BONE injuries; THERAPEUTICS
- Publication
Indian Journal of Basic & Applied Medical Research, 2018, Vol 7, Issue 3, p140
- ISSN
2250-284X
- Publication type
Article