The use of locking plates in proximal humerus fractures-functional outcome based on age and fracture pattern
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Background: Proximal humerus fractures accounts for 4-5% of all fractures. This is the third most common fracture in the elderly population. Surgical treatment is advised for displaced proximal humerus fractures. This study was done to evaluate the functional outcome of fractures operated with locking plates and to evaluate any significant difference of outcome present between age (< 60 years and > 60 years) and fracture pattern (AO Type A, B, C). Materials and methods: This is a Prospective study conducted at Government Kilpauk Medical College Hospital. 25 cases of proximal humerus fractures operated with proximal humerus locking plates. Post operatively functional outcome was evaluated with Constant Murley Shoulder score and radiological followup. Results: In our study, 14 cases were < 60 years and 11 cases were > 60 years. The mean constant score was 86.75 and 67.1 for < 60 and > 60 years respectively and it was statistically significant. The difference in the functional outcome of three fracture types was statistically significant with a p value of 0.048. Conclusion: Proximal Humerus Locking Plate is the implant of choice for treating displaced proximal humerus fractures. It provides stable internal fixation, allows early mobilisation and prevents secondary loss of fixation. The functional outcome was decreased in elderly individuals when compared to younger individuals. More complex initial fracture patterns have decreased functional outcome postoperatively, hence adequate stable fixation and appropriate physiotherapy and rehabilitation protocols should be followed to achieve optimal functional outcome.
Authors and Affiliations
Dr. S Makesh Ram, Dr. M Antony Vimal Raj, Dr. G Mohan, Dr. Anand, Dr. M Rathna Kumar, Dr. Jay Ganesh
Keywords
Related Articles
- EP ID EP487159
- DOI 10.22271/ortho.2018.v4.i2m.128
- Views 150
- Downloads 0
Conservative vs. surgical intervention in diaphyseal forearm fractures in age group 1 to 15 years: A prospective study
Pediatric diaphyseal breaks of the radius and ulna, regularly alluded to as both bone lower arm fractures, are the third most basic fractures in the paediatric populace and record for 13-40% of all pediatric fractures.1,...
Role of intravenous tranexamic acid for the reduction of blood loss in total knee arthroplasty
Antifibrinolytic drug Tranexamic acid (TXA) administered intravenously has shown to significantly reduced the blood loss intraoperatively (P<0.01) and postoperatively (P<0.01) in patients undergoing bilateral total knee...
Cervical myelopathy treatment options at BPKIHS-A tertiary care center
Background: The goal of surgery for cervical spondylotic myelopathy (CSM) is to open the space for the spinal cord. There are many successful surgical techniques for treating CSM. The goal of surgery is to open the space...
Metacarpal shaft fracture fixation with intramedullary k-wire: Surgical and Clinical outcomes
Background: Metacarpal fractures are among the most common fractures. The majority of metacarpal shaft fractures can be treated conservatively. There are numerous indications for operative treatment and various fixation...
Evaluation of efficacy and clinical outcomes of posterior surgical approach and posterior instrumentation in the management of tuberculosis of spine
Introduction: Pott’s disease or Pott's disease is a form of tuberculosis that occurs outside the lungs whereby disease is seen in the vertebrae. Tuberculosis can affect various tissues apart from the lungs including the...