Volume : 5, Issue : 8, August - 2016

Outcome of Surgical Management of Proximal Humerus Fractures treated by open reduction and internal fixation using Locking Plate System

Dr Inayat Panda, Dr Harshad G Argekar

Abstract :

<p>&nbsp;Objectives: The goal of the study is to test the efficacy and functional outcome of Locking compression plate in proximal humerus fractures and to evaluate the incidence of complications that may occur . Methodology: 34 patients with proximal humerus fractures admitted and examined according to protocol. Consecutive patients selected in a non-randomised manner were . Clinical and Radiological evaluation done. Fractures classified using Neer&rsquo;s classification Patients underwent Open reduction internal fixation with locking compression plate for the sustained fracture under general anaesthesia. Post operative physiotherapy was given Results: The first follow-up visit at 11/2 months 34(100%) of the patients had a Relative Constant Score in the 0-55%. The score increases over the next follow-up visits .At the end of 6 months 9(26.5%) patients had a relative constant score in the range 0-55% (poor outcome) ; 15(44.1%) patients in the range 56-70% (moderate outcome) and 10(29.4%) patients in the range of 71-85% (good outcome). None of the patients studied had an excellent outcome .Complication incidence proportions increased in older patients . Conclusion The proximal humerus locking plate system is effective in maintaining fracture reduction in proximal humerus fractures. Due to stable restoration, early functional aftercare is possible and allows the patient to regain good shoulder function and return to work earlier Fixation with the proximal humerus locking plate is a near ideal technique with a high union rate in the treatment of proximal humeral fractures</p>