International Journal of Orthopaedics Sciences
2015, Volume 1 Issue 1
A clinical study of management in proximal humerus fractures in adults with LCP plating
Author(s): S.K. Venkatesh Gupta, Sandeep Kumar Reddy.D
Abstract: Proximal humerus fractures account for 4% of all fractures. Most proximal humerus fractures can be managed conservatively, but 3-part and 4-part fractures are unstable and need internal fixation. We are undertaking this study to get a better understanding of the use of operative management of these fractures with LCP plating. 50 cases (32 males, 18 females) with unstable fractures of proximal humerus treated from June 2011 to may 2014 in the mean age 51.5 (25-70) years formed the study group. Indications for surgery were 3-part & 4-part closed proximal humeral fractures, surgical neck fractures with angulation greater than 45 degrees or greater tuberosity fracture with displacement of more than 1 cm. Standard Deltopectoral approach was used. Anatomical reduction and internal fixation with LCP was done in all patients. Patients were assessed clinically, radiologically (Plain X-rays) and functionally (Constant Murley shoulder score) at 1st, 2nd 3rd, 6th, 12th and 18 months postoperatively. Patients were followed up for a mean duration of 10.31 months. Mean time to radiological union was 14.06 (6-24) weeks. The mean Constant murley shoulder score was 81.25 points and was categorized good. Complications like stiffness, infection, malunion, were observed. In conclusion locking Compression plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization.
How to cite this article:
S.K. Venkatesh Gupta, Sandeep Kumar Reddy.D. A clinical study of management in proximal humerus fractures in adults with LCP plating. Int J Orthop Sci 2015;1(1):12-15.