Functional outcome following surgical management of proximal humerus fracture in elderly
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Proximal humerus fracture accounts to about 4-5% of all the fractures and is the third most common fracture in the elderly population. Though several modalities of treatment exist there are no clear guidelines or consensus to the optimal method of treatment of these fractures especially in the elderly population. This study was based in a tertiary hospital with the objectives to assess the functional outcome of surgical treatment of proximal humerus fractures in the elderly population. Patients with proximal humerus fracture aged above 51 years and fulfilling the inclusion criteria were included in the study. The fractures were classified using Neer’s classification of proximal humerus fracture. Patients were treated surgically by [ORIF] and post-operatively limb is immobilized in arm pouch; mobilization was started at the second week as per patient’s tolerance. Patients were then followed up at 3 months, 6months and 12 months.They were assessed for functional outcome using Constant scoring system [Pain, activities of daily living and range of motion]. A total of 37 patients were included in the study. The mean age of the patients was 65.2 years. The study included 18 2-part fracture, 11 3-part fractures and 8 4-part fracture. The mean Constant score at 12-month follow-up in 2-part fracture was 66.2, in 3-part fracture was 59 and in 4-part fracture was 51.4. The overall mean Constant score was 60.2. In conclusion we areof opinion that treatment of proximal humerus fractures in the elderly population is a challenge and one should not deny them a good functional outcome. Patients with 2-part fracture fared better and has a satisfactorily good functional outcome. Whereas in 3-part and 4-part fractures the outcomes do not vary significantly and patients with 4-part fracture had higher incidence of surgery related complication.
Authors and Affiliations
Dr. Vanka Ashok Kumar, Dr. Raghuveer Adiga, Dr. Abhishek S Bhasme, Dr. Ram Prasad Rai, Dr. Terence D souza
Keywords
Related Articles
- EP ID EP481620
- DOI 10.22271/ortho.2017.v3.i4f.51
- Views 117
- Downloads 0
Evaluation of wide interlaminar fenestration surgery in degenerative lumbar canal stenosis
Background: With the increasing longevity of population and a continually climbing proportion of middle-aged and elderly persons, the problem of lumbosacral spine is a significant health care issue, causing backache and...
Role of radiotherapy in management of Fibrodysplasia ossificans progressiva
Fibrodysplasia ossificans progressiva (FOP) is an extremely rare genetic disorder with widespread extra-skeletal bone formation. This disease usually begins with typical ossification pattern in early childhood, causing i...
A study of functional outcome of tibial condylar fractures treated with articular reconstruction
Objective: The goal of this study it to access the functional and radiological outcome of articular reconstruction as a treatment modality for depressed tibial condylar fractures, using autogenous iliac bone graft as a “...
Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating
Background: A prospective study was done in the Department of Orthopedics in D.Y HOSPITAL, Navi Mumbai from January 2015 to May 2017 to evaluate outcomes of single column plating in extra articular distal comminuted as w...
Is cemented total hip arthroplasty for the treatment of active and advanced tuberculosis of the hip always justified?? A retrospective analysis
Background: The dilemma of whether a total hip arthroplasty (THA) should be attempted in a patient with a current or previous tuberculosis infection continues to cause controversy. The goal of this study was to evaluate...