TO EVALUATE THE FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURES WITH LOCKING COMPRESSION PLATE.

Dr. Amit sehgal, Dr Satish Agarwal

Abstract


Proximal humerus fractures accounts for about 4 to 5% of all fractures. They are the most common fractures in elderly population. Significant
controversy continues regarding the best methods of treating displaced proximal humerus fractures. The present study is undertaken to evaluate the
functional outcome and complication of proximal humerus fractures treated by locking compression plate.
Prospective study involving Adults(>18yrs) with proximal humerus fractures admitted to M.L.B. Medical College & A life hospital, Jhansi UP
from June 2017 to April 2019. In this study period 30 cases of fractures of proximal humerus were treated by open reduction and internal fixation
with Locking Compression Plate were evaluated.
In our series, majority of the patients were males, elderly aged, with RTA being the commonest mode of injury, involving 2 part,3part and 4part
fractures of proximal humerus . The fractures united in all 30 patients. Excellent and satisfactory results were found in 76.7% of patients with
unsatisfactory results in 23.3 % according to Neer's criteria.
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.


Keywords


Proximal humerus fractures, Open reduction and internal fixation.

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References


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