The Surgical And Functional Outcome In Two Part And Three Part Fracture Of The Proximal Humerus Using Proximal Humerus Locking Plate (Philos Plate).
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Proximal humerus fracture remains a major challenge for treating surgeons. While non-displaced fractures can be managed conservatively, displaced ones are often treated surgically. The incidence of proximal humerus fractures has increased in last few years due to changes in life style and increase in road traffic accidents. Hence, the challenge of the modern day treatment was to get accurate reductions anatomically, fast healing and early restoration of function. Objectives: To assess the efficacy, functional and anatomical outcome of locking plate in management of two part and three part fracture of proximal humerus according to Neer’s classification. Methods: This is a prospective study in which 30 patients of the proximal humerus fracture, between 25 years to 55 years age group who provided the written inform consent to participate in the study were included and treated using proximal humerus locking plate technique from August 2016 to August 2018. Outcome measure using radiological and clinical parameters, functional outcome was access by DASH SCORE. Result: All patients were subject to ORIF with locking proximal humerus plate. Proximal humerus fracture is common in age group of 36 to 45 years (46%). 22 out 30 (73%) patients were male. The commonest mode of injury was Road traffic accident (53%).In the present study 16(53.33%) cases had 2 part fracture and 14 (46.67%) had 3 part fracture. In our study the mean duration of operation was 45.5minutes. Out of 12 patients, 6(17%) had complication.1 patient (8.5%) had superficial infection and 2 patient (8.5%) had stiffness of the shoulder.The collected data was analyzed using SPSS software version 23.0. A p value <0.05 was considered significant. Conclusion: The proximal humerus locking plate method for proximal humerus fracture emerges to be safe, effective, reliable fixation with minimal complications.
Authors and Affiliations
Dr Sudip Deb, Dr Nobin kumar Sharma, Prof A Mahendra Singh, Dr Shubhendu Sekhar, Dr Debasish Parija, Dr Binayak Ray
Keywords
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