The management of complex proximal humerus fractures (Neer’s type III, IV and fracture dislocation) is complicated. There are various treatment modalities available for proximal humerus fractures. We have designed and indigenously manufactured new plate called “SINGLE TINE PROXIMAL HUMERAL T-PLATE (3.5 mm)” for fractures of proximal humerus .The aim of this study was to examine the clinical outcome of complex proximal humeral fractures treated surgically with single tine T-plate.
Materials and Methods: This is retrospective observational study included 25 patients who underwent open reduction and internal fixation with single tine T plate for proximal humerus fractures in between 2010 and 2013. . All patients were evaluated using point system of Neer’s shoulder evaluation system.
Results: Mean age of the patient 47.12 years (range 22-60 years). All the fractures united with a mean duration of 14 weeks (range 10 weeks to 18 weeks). As per Neer‟s score we achieved excellent or satisfactory results in 21 out of 25 i.e. 84%. The mean Neer‟s score was 85.2 (range 64-94). We had unsatisfactory to poor result in 4 out of 25 cases (16%). (Table 1) Complications were seen in 3 cases (12%). One case of superficial wound infection and two cases of screw loosening.
Conclusion: Single tine T-plate is a good alternative implant for treating complex fracture and fracture dislocation of proximal humerus .It is cost effective, and easy to use. The single tine T-plate offers good support against varus mal-reduction. Primary bone grafting is a powerful tool in managing complex fractures/ fracture-dislocation of proximal humerus.