A prospective study on functional and radiological outcome of proximal humeral fractures treated with locking compression plates
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Fractures of proximal humerus account for about 4 to 5% of all fractures. It is the third most common fracture after hip fracture and colles fracture in elderly patients. In this study we have analysed 20 cases of proximal humeral fractures treated surgically using (PHILOS) proximal humerus locking compression plates admitted at Department of Orthopaedics and Traumatology, Government Kilpauk Medical College and Hospital, Chennai from April 2013 to November 2013. The aim of the study was to analyze the functional and radiological outcome and to assess the complications of proximal humeral fractures treated using locking compression plates. Patients with proximal humerus fractures, who are skeletally mature and age more than 18 years satisfying Neer s criteria for operative displacement were selected. The patients were operated by the standard anterior deltopectoral approach or deltoid splitting approach using proximal humerus locking plates. All the patients were reviewed at two weeks interval, for first three months and later every month, Radiological evaluation of fracture union was observed by serial X rays. Constant and Murley’s score was used to assess the functional outcome of our patients. The average constant score in our study with 20 patients was 82.4. Finally we concluded that displaced proximal humeral fractures when treated surgically produce greater range of movements (ROM), less pain and less stiffness.
Authors and Affiliations
Dr. Vinoth Raj Kumar P, Dr. Prabhu V, Dr. Ashokan C, Dr. Kathir Azhagan S
Keywords
Related Articles
- EP ID EP499594
- DOI 10.22271/ortho.2017.v3.i3g.79
- Views 106
- Downloads 0
Functional outcome of high tibial osteotomy among patients with osteoarthritis
Introduction: Osteoarthritis of knee is more common among all types of arthritic conditions. High tibial osteotomy is an accepted surgical technique for treatment of medial compartment arthrosis of knee in younger patien...
Functional outcome of transforaminal lumbar interbody fusion for lytic and degenerative spondylolisthesis
Introduction: Spondylolisthesis is defined as the forward displacement of one vertebra over the vertebra below. It is often accompanied by spinal canal stenosis and compression, which is the cause of all the symptoms. Ai...
Functional outcome of cervical spine locking plate fixation in traumatic quadriplegics
Introduction: The cervical spine column is extremely vulnerable to injury due to its specific facet joint articulation. The most serious complication quadriplegia occurs in almost 40to50% of cases. Surgery is indicated i...
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...
Nasal bone fractures in children- A clinical study
Background: Nasal bone fractures are quite common nowadays. An average 1/3rd of all nasal fractures occur in the pediatric population. It is 2nd most common site of injury in children. It constitutes approximately 41% an...