International Journal of Orthopaedics Sciences

Functional outcome of proximal humerus fracture management with proximal humerus internal locking system plate

2021, Volume 7 Issue 2

Functional outcome of proximal humerus fracture management with proximal humerus internal locking system plate

Author(s): BG Sagar, Mohammad Ansar and Guruprasad S
Abstract: Background: Proximal humerus fractures are the 2nd most common fractures of upper extremity and one of the most common fractures in osteoporotic bone. 85% of these fractures are undisplaced or minimal displaced fractures which can be treated with conservative management. 15% fractures are displaced and unstable and which may need surgical management. The surgical procedure remains a challenging and unsolved problem to the surgeon especially because of its high complication rate. Internal locked plating becoming more popular, to maximize clinical outcome with our experience of surgical procedure in using system pate. In our study, the plate provides stable fixation with a goal of early restoration of a painless shoulder.
Methods: A prospective study was conducted in department of orthopaedics in Adichunchanagiri institute of medical sciences, B.G. Nagara, mandya from June 2018 to August 2020. Displaced Neer’s part 2, part 3 or part 4 with age not less than 18 years and not more than 75 years. Twenty patients with proximal Humerus fractures were taken into study, all patients were fixed with PHILOS plate.
Results: Functional outcome evaluated with CONSTANT – MURLEY score, we got excellent results in 04 cases, satisfactory in 09 cases, unsatisfactory in 05 and failure in 02 cases with a mean Constant-Murley score at the end of final follow-up period was around 80.2.
Conclusion: Proximal humeral fractures managed by internal fixation with anatomic locking compression plates yields satisfactory results when provided the correct surgical technique. The anatomic locking compression plate is suitable for the stabilization of proximal humeral fractures (Neer’s 2-part, 3-part and 4-part fractures and osteoporotic fracture) and can lead to a good functional outcome.
Pages: 736-739  |  535 Views  88 Downloads
How to cite this article:
BG Sagar, Mohammad Ansar, Guruprasad S. Functional outcome of proximal humerus fracture management with proximal humerus internal locking system plate. Int J Orthop Sci 2021;7(2):736-739. DOI: 10.22271/ortho.2021.v7.i2j.2696
 
International Journal of Orthopaedics Sciences
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