Two-Part Proximal Humerus Fractures: Whether to Plate or Nail?
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
surgical intervention is often indicated. Purpose-The purpose of this study is to compare two methods of fixation for two-part proximal humerus fractures, locking plate (LP) with screws versus intramedullary nailing (IMN), with respect to alignment, healing, patient outcomes, and complications. Method and material-A prospective study was performed on 61 cases of displaced two-part surgical neck fractures of the humerus. 30 shoulders were treated using IMN fixation and 31 others were fixated with LP. Results Clinical and radiological outcome of two groups were compared. American Shoulder Elbow Surgeon (ASES) Score was used to evaluate patients clinically which was not significant for 1-year follow-up. Radiographic comparison of fixation by X-Rays demonstrated an average neck-shaft angle of 121.9° and 124° in the IMN group and LP group respectively. 117.7° of forward elevation in the IMN group and 136.3º in the LP group, which were significant. Operating time for both the procedures was found to be significant. Complications were not found to be significant. Conclusion: Our results suggest that either LP fixation or IMN fixation for a two-part proximal humerus fracture provides acceptable fixation and both the procedures have some limitations over other. Although forward flexion and functional outcome were decreased in the IMN group, operative time was less and was significant.
Authors and Affiliations
Anubhav Sharma, Shounak Taywade, Gajanan Chintawar, Gaurav Dev Sharma, Shweta Dwivedi
Keywords
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- EP ID EP592531
- DOI 10.9790/0853-1604010409.
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