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 114
- Downloads 0
A nature friendly knee arthroplasty for prayer and meditation in Asiatic lifestyle
Introduction: India is a country where many religions coexist together. Prayer & meditation form an integral part of Indian lifestyle. Also 90% of India’s population lives in the rural areas. Medial compartment osteoarth...
Study of fractures treated with anatomical plates in lower limb
Introduction: It is a study of biological plating at various situations. Biological is a least contact plate designed for use in specific anatomical regions such as the proximal & distal femur, proximal & distal tibia. M...
A prospective study of functional outcome of primary intra-medullary nailing in type 3A and 3B open tibial diaphyseal fractures
Objectives: In a developing country such as ours, patients with Type III open Tibial fractures often reach the hospital late (after initial 6 hours) of sustaining high-velocity trauma. Primary internal fixation becomes a...
Closed intramedullary interlocking nailing for fracture shaft of femur: Prospective study
Introduction: Diaphyseal fractures of femur are most common due to increase in road traffic accidents and fall from height from building constructions. Closed or open reduction and intramedullary interlocking nailing is...
Comparative study on fixed versus adjustable-length loop device for femoral fixation of graft in anterior cruciate ligament reconstruction
Aims and Objectives: Cortical suspension devices have been widely used in ACL reconstruction for femoral side graft fixation. Fixed-length and adjustable-length loop devices are two common suspensory loop devices that ar...