Surgical management of proximal humerus fractures – Assessment of results
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2017, Vol 3, Issue 1
Abstract
Proximal humeral fracture whether caused by trauma or related to osteoporosis, requires carefully planned individual treatment. The choice of technique and devices depends on quality of bone, soft tissue, age and reliability of patients. However the goal of proximal humerus fracture fixation should be stable reduction, allowing early motion of fracture. Objectives: To analyze fractures of the proximal humerus that were treated either with the proximal humerus internal locking system (PHILOS) locking plate or percutaneous K wire and document their clinical and functional outcome. Materials and Method: The study includes patients with proximal humerus fractures who underwent Open reduction and internal fixation with PHILOS locking plate or Percutaneous K-wire fixation. Functional outcome was evaluated by Constant-Murley score. Patients were followed up at 6 weekly interval until fracture union and at once at 1 yr after the surgery 30 cases were studied, cases were selected randomly for both PHILOS and percutaneous k wire fixation, each 15 cases. Results: 33.34% patients treated with open reduction and internal fixation with PHILOS plating had good to excellent results, 46.6% of patients had fair results and the remaining 20% had poor results. 40% of patients treated with closed reduction and K wire fixation had good to excellent results, 40% of patients had fair results and remaining 20% had poor results. Conclusion: The results of surgical treatment of proximal humerus fractures in both the groups (percutaneous pinning and PHILOS plating) are satisfactory with good functional outcome.
Authors and Affiliations
. .
Keywords
Related Articles
- EP ID EP298421
- DOI 10.18231/2455-6777 .2017.0003
- Views 92
- Downloads 0
Efficacy of Mesenchymal Stem Cells (MScs) enhanced with Platelet Rich Plasma PRP in Osteoarthritis (OA) Treatment
Osteoarthritis (OA) is one of the most common joint diseases. This disease commonly develops in the weight bearing joints of the lower limbs, such as the knee and hip joints. Osteoarthritis is considered a chronic degene...
Bipartite Scaphoid - First case report?
Congenital bipartite scaphoid is an extremely rare developmental anomaly of the carpal bones There has been no previous report of bipartite scaphoid from India or any other South East Asian Countries
Knowledge attitude and practice of Indian dentists on topical fluoride application in children
Objectives: To assess the knowledge, attitude and practice of dentists towards Topical fluoride application in Delhi, National Capital Region (NCR). Materials and Method: A self-made questionnaire was designed in a manne...
Osteoid osteoma of the femur masquerading radiculopathic disease - A case report
Osteoid osteoma is a benign bony tumour that is common in males and can mimic a variety of regional musculoskeletal painful conditions often leading to a delay in diagnosis if a watchful eye is not kept. It classically c...
Preponderance of side of involvement in Osteoarthritis knee
Introduction: Osteoarthritis (OA) is a chronic inflammatory condition affecting the joint. Knee is the most commonly involved joint of body in osteoarthritis. Osteoarthritis may occur primarily in knee joint or it may be...