Title: Functional Outcome of Patients with Proximal Humeral Fractures Managed by Proximal Humeral Inter Locking System Plating
Authors: Dr Manoj Kumar R, Dr Ratheesh E, Dr Sabarisree M
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.21
Abstract
Background: Our study is planned to evaluate functional outcome of patients with proximal humeral fractures managed by proximal humeral inter locking system plating in view of range of movement, possible returns of basic functions around shoulder girdle, radiological outcome and resultant remaining disability in the course of healing and after completion of healing.
Materials and Methods: one year study and each patient is followed up for 6 months after the procedure. 42 patients with proximal humerus fractures were managed With locking plate all of them completed mean follow up 6 months and evaluated using constant murley scoring system.
Results: In 42 patients 18 were male and 23 were females,40.5% of patients were above 60 years of age common mode of injury was fall from height about 54.8% ,and one patient had one part fracture,18 had 2-part fractures, 18 patients had 3-part fractures, and 5 patients had 4-part fractures. After 6 month follow up, a mean Constant score 71.6% was achieved. Outcomes were excellent in 45.2%, good in 19%, fair in 31.0% while poor in 4.8%. The Constant score was poorer for Neer type IV fractures as compared to other types. The most frequently occurring complications in our patients were infection 38.1%, avascular necrosis 14.3%,no improvement in movement after 6 month 11.9%
Conclusion: Proximal humeral locking plate is an exciting new method of osteosynthesis for complex proximal humerus fractures allowing early mobilization, good functional outcome and is a superior treatment option to hemiarthoplasty.
Keywords: Proximal humerus locking plate, constant score
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