International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2020, Volume 6 Issue 1

Study of functional outcome of two, three and four-part proximal humerus fracture fixation with locking compression plate using Neer`s score

Author(s): Dr. Jana Sai Shankar and Dr. Sujith Kumar Vakati
Abstract: Proximal Humerus fractures are one of the commonest fractures occurring in the orthopedics. They comprises of approximately 4-5% of the fractures at the hospital and are secondary only to hip fractures and distal end radius fractures in the elderly group. The incidence is approximately 3 per 1000 persons in a year and is rapidly increasing with age. They are common in elderly patients after cancellous bone of the humeral neck has weakened due to old age, but these fractures can be seen in any age group. The most serious fractures and fracture-dislocations are often seen in active middle aged patients. These fractures can be extremely disabling and their management often demands expertise surgical skills and judgment. 2 Because of increasing incidence of high energy trauma complicated patterns of fracture in proximal humerus are becoming increasingly common. The preferred treatment varies depending on the age of patient, bone quality, expertise surgical team and the patient’s expectations. There is a controversy regarding the best method of treating displaced proximal humerus fractures.
Treatment options for displaced fractures include open reduction and internal fixation. Neer recommended Open reduction & internal fixation for 2- and 3-part fractures. Most of the poor results following open reduction and internal fixation of these fractures are due to imperfect surgical techniques. In a three or four-part fracture dislocation when the Humerus head is entirely devoid of any blood supply it can be replaced by prosthesis. This study is about the use of Locking Compression Plate to fix fractures of the proximal humerus in adult patients in whom the duration of hospital stay reflects the earning capacity of the person and in elderly in whom immobilization of upper-limb is associated with stiffness, reflex sympathetic dystrophy, and shoulder-hand syndrome.
Pages: 58-62  |  99 Views  8 Downloads
How to cite this article:
Dr. Jana Sai Shankar and Dr. Sujith Kumar Vakati. Study of functional outcome of two, three and four-part proximal humerus fracture fixation with locking compression plate using Neer`s score. International Journal of Orthopaedics Sciences. 2020; 6(1): 58-62. DOI: 10.22271/ortho.2020.v6.i1b.1837