PRECON TOURED PLATE OSTEOSYNTHESIS IN PROXIMAL HUMERUS FRACTURES IN ADULTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 14
Abstract
AIM To evaluate the reliability and safety, functional outcome & complication associated with proximal humerus locking plate in treatment of proximal humerus fracture in adult and old age patient. MATERIAL AND METHODS The present study evaluates the functional outcome of 40 patients with displaced proximal humerus fracture managed with proximal humerus locking plate via deltopectoral approach in a prospective manner. All male or female patients between 18- 60 years of age, with proximal humerus fractures and duration of injury less than 2 weeks, between May 2011 to May 2015 were evaluated. Patients were called for regular follow up for evaluation on the basis of constant shoulder Score (CSS) with the parameters of pain, range of motion and strength of limb. RESULTS The age of all patients ranged from 25-69 yrs. with mean (±SD) 49.70±12.16 yrs. Most of the patients were above 45 yrs. of age (65.0%) and mostly males (60.0%). There were 18 patients with Neer classification part 2, 18 with part 3 and 4 were with part 4. The union time for all patients ranged from 8-12 wks. with mean (±SD) 10.40±1.23 wks. Similarly, the duration of surgery of all patients ranged from 70-140 min with mean (± SD) 100.00 ± 20.84 min. No wound infections, vascular injuries, avascular necrosis, or loss of fixation ensued. Two patients with axillary nerve palsy recovered spontaneously within 3 months. 28 patients did not have treatment related complications (70.0%). However, 12 patients have treatment related complication (30.0%) with 5.0% screw perforation and 15.0% shoulder stiffness and 10 % varus mal-reduction. However, based on constant shoulder Score (CSS), at final evaluation, the functional outcome (i.e. efficacy of the treatment) of most of the patients were found to be excellent (70.0%), good (15.0%), poor (10.0%) and fair the least (5.0%). CONCLUSION Proximal humerus locking plate is a good modality for treatment of Neer type 2 and 3 displaced proximal humerus fractures but its application in Neers type 4 is associated with high complication rates.
Authors and Affiliations
Arunim Swarup, Kunal Vij, Avinash Rastogi, Abhay Shankar Dube, Sunil Malhotra
Keywords
Related Articles
- EP ID EP232689
- DOI 10.18410/jebmh/2016/106
- Views 83
- Downloads 0
A COMPARATIVE STUDY BETWEEN 0.75% ROPIVACAINE PLAIN AND 0.75% ROPIVACAINE WITH OPIOID ADDITIVE BUPRENORPHINE FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK IN UPPER LIMB SURGERIES
BACKGROUND Supraclavicular brachial plexus block provides safe, effective, low cost anaesthesia with excellent postoperative analgesia. The current study was an attempt to compare ropivacaine 0.75% with ropivacaine 0.75%...
STUDY OF IMPACT OF PULMONARY AND GENITAL TUBERCULOSIS ON MENSTRUAL PATTERN OF WOMEN IN A TERTIARY CARE REFERRAL CENTRE
BACKGROUND TB affects female reproductive health and clinically can present in different ways to tax the ingenuity of the best doctors. In this project, we want to analyse the behaviour of tubercular infection on female...
FEASIBILITY OF LAPAROSCOPIC CHOLECYSTECTOMY IN GANGRENOUS CHOLECYSTITIS IN A TERTIARY CARE CENTER
BACKGROUND Gangrenous cholecystitis is considered the most severe form of acute cholecystitis. It is associated with high morbidity and sometimes mortality. In the past studies laparoscopic cholecystectomy was considered...
VISION RELATED QUALITY OF LIFE FOLLOWING PANRETINAL PHOTOCOAGULATION IN PROLIFERATIVE DIABETIC RETINOPATHY
BACKGROUND Diabetic retinopathy is a major cause of blindness in developing countries also and can be treated by effective treatment like panretinal photocoagulation. The side effects can be ignored compared to the advan...
A HISTOPATHOLOGICAL STUDY OF TUMOUR AND NON-TUMOUR BREAST LESIONS IN KOLHAN, JHARKHAND
BACKGROUND The objectives of the study are- 1) To evaluate the histopathological findings of neoplastic and non-neoplastic lesions of breast. 2) To correlate the clinico-radiological diagnoses and histopathological diagn...