Functional Outcome of Displaced Proximal Humerus Fractures Treated By Proximal Humerus Locking Plate in Adults

Chaudhary R** Adhikhari BR*,

Abstract


Introduction: Fractures of the proximal humerus are common, accounting for 4–5% of all fractures. The management of proximal humerus fracture is always demanding and plate fixation has been standard for stabilization. Because of the complexity and variety of these fractures, the complication rate is high; in particular, loss of reduction and penetration of the proximal screws


Method: This retrospective study was carried out in the department of Orthopedics National Trauma Center, Kathmandu from March 2017 to September 2019. Within this period, 36 patients of proximal humerus fracture were selected as per inclusion criteria.


Result: The mean constant score was 67.28 (range 38-92). Out of 36 patients, 7 patients had excellent scores, 9 had good scores, 11 had moderate scores, 5 had poor Scores and 4 were lost during follow up. The major complication associated were avascular
necrosis (n=2) and chronic osteomyelitis (n=1).


Conclusion: The complex, high energy and osteoporotic proximal humerus fracture using proximal humerus locking plate provides stable fixation with good functional outcome and low complication rates.


Keywords: Constant Score, Neer`s Classification, Proximal Humerus Fracture.

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