Comparative study of the Functional Outcome in Proximal Humerus Fractures in Adults
Journal Title: Punjab Orthopaedic Journal - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Proximal humerus fractures are one of the most common fractures accounting for 4–5% of fractures in the orthopedics. There are various modalities of management used for proximal humerus fracture. Much controversy and confusion still exist, and no single treatment protocol or algorithm has been proven to be universally effective. Areas still in question include radiographic diagnosis, operative or nonoperative treatment, consideration of patient age in treatment decision-making, surgical approach, fracture fixation or hemiarthroplasty, type of internal fixation, and rehabilitation protocol. The purpose of our study is to assess the functional outcome with various modalities of treatment in proximal humerus fracture. Materials and Methods: A study of 46 proximal humerus fractures in 45 patients was carried out in Adesh Hospital Bathinda for a period of 1 year. Conservative and operative both methods were used. After discharge, regular follow-up was done at 6 weeks, 3 months, 6 months, and 1 year. Functional outcome of these patients was assessed with constant Murley scoring system. Results: Majority of patients (75%) were between 31 and 60 years of age with male predominance (75.6%). The mode of injury was road traffic accident in majority (75.5%). Majority of fractures (52.2%) were managed with arm pouch sling and immobilization. Of total 46 fractures, 31 (67.4%) fractures had excellent functional outcome. 7 (15.2%) fractures had satisfactory functional outcome, 4 (8.7%) fractures had unsatisfactory functional outcome, and 4 (8.7%) were failure with constant Murley score of <70. Conclusion: The conclusion is that final functional outcome has a significant relationship with the type of fracture (Neer type). All proximal humerus fractures without complications get progressively better with time and achieve near-normal function by approximately 1 year.
Authors and Affiliations
Pankaj Miglani, Rajinder Kumar, Amarjit Singh Sidhu, Parminder Kular Singh
Keywords
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