A cross sectional study of functional outcome of proximal humerus fractures treated with closed reduction and percutaneous pinning
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
The most common orthopaedic injuries related to falls and road traffic accidents are fractures. Mostly these are hip fractures, distal radial fractures and the fractures of humerus. Proximal humerus fractures represent approximately 4% of all the fractures. Increased number falls and increased prevalence of osteoporosis leads to more number of cases of proximal humerus fractures. In elderly patients the most common mechanism of injury in proximal humeral fractures is a fall from standing height onto an outstretched upper extremity. In patients less than 50 years of age, high energy trauma like motor vehicle accidents and falls from significant heights or athletic injuries are the most common causes for these fractures. In our study, we evaluated 50 cases of proximal humerus fractures treated at department of orthopaedics of a medical college and tertiary care institute. Patients were treated with closed reduction and percutaneous pinning. Neer’s functional assessment was used for post-operative functional assessment of these cases. Majority of the patients were from the age group of 41-60 years (50%), 56% were males while 44% were females. Most of the patients had right sided humeral fractures (62%). Commonest mode of injury in these patients was fall (68%), while rest of the patients (32%) had road traffic accidents. Majority of the patients (66%) required 10-12 weeks for union of fractures, the mean time of union being 10.63 weeks. 2 – Part Neer’s type patients contributed 56% of the study population. 75% of the patients did not have any complication. Only one patient experienced failure of fracture healing, while most of the patients (56%) had excellent functional outcome.
Authors and Affiliations
Dr. Suyog Chavhan, Dr. Ranjit Modak, Dr. Srikanth Madikattu, Dr. Jemikumar Kansagara, Dr. Amrut Swami
Keywords
Related Articles
- EP ID EP483456
- DOI 10.22271/ortho.2018.v4.i1e.50
- Views 119
- Downloads 0
A study of clinical profile of patients with inter-trochanteric femur fractures
Introduction: Trochanteric fractures are one of the commonest injuries sustained predominantly in patients over sixty years of age. They are three to four times more common in women than in men. Materials and methods: Th...
A comparative evaluation of results of proximal femur nail and dynamic hip screw fixation for intertrochanteric femur fractures
Incidence of intertrochanteric femur fractures has increased significantly during the recent decades, due to the change in the demographic profile of Indian population. Conservative management of these fractures has show...
Percutaneous endoscopic discectomy: Gold standard technique for single level intervertebral disc prolapse
Introduction: DISC prolapse is a common problem seen in general population and 10% patients may require surgical intervention. Objective: To determine functional outcome of patients operated by percutaneous endoscopic di...
Comparative analysis between dynamic hip screw and proximal femoral nail the management of intertrochanteric femoral fracture
Peritrochanteric fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. There are va...
Effectiveness of intraarticular steroids in osteoarthritis of knee
Knee osteoarthritis is a degenerative disease characterized by cartilage destruction which manifests as pain, stiffness and loss of joint motion. With increasing longevity, aging of population and increased incidence of...