Online ISSN: 2515-8260

To study the functional outcome of proximal humerus fractures treated with locking plates

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1Dr. Varun Chatrabhuj Shelke, 2Dr. Nitin Machhindra Ghule, 3Dr. Anuja Patil, 4Dr. Swapnil Vasudeo Sonar

Abstract

Introduction: Fractures of proximal humerus account for about 4 - 5 % of all the fractures. There frequency increases in relation to the presence of Osteoporosis. In undisplaced and stable fracture pattern, conservative treatment yields a fairly good result. In this retrospective study, we will focus on the early results and the functional outcomes of the Locking plates for the proximal humeral fractures, with specific respect to fracture and soft tissue healing, radiological union, immobilisation period, infection rates and other complications encountered. Materials and Methods: Patients admitted under Orthopedic department those who suffered proximal humerus fractures in whom operative line of management was considered, in the form of plate osteosynthesis with locking plates. These were assessed for functional outcome using the UCLA (University of California and Los Angeles) score, VAS score and radiological union. Results: Functional outcome seems to be better in 2 part and 3 part fractures compared to 4 part and fracture dislocation and better in younger age group compared to older.60.86% had excellent-good results while 8.69% had fair and 30.43% had poor results. Fair or poor results were mostly seen in 4-part fractures and fracture-dislocation. Conclusions: Open reduction and Internal fixation of proximal humerus fractures with Locked Compression Plates gives good early functional results with union in all fractures.

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