A study of Proximal Humerus Fractures treated by Locking Compression plating

Abstract

Abstract Background: The treatment of proximal humerus fractures is always a challenge for the Orthopedic surgeon. Proximal humeral fractures are a regular presence in clinics. In the past, the standard treatment method was conservative. The results and functional outcomes, on the other hand, were not favorable. The functional outcomes have been known to improve after the development of locking compression plates. The purpose of this study was to see how functional proximal humerus fractures were treated with locking compression plates fared. Methods: This cross-sectional interventional prospective study was carried out in the Department of Orthopedics, Prathima Institute of Medical Sciences. The study included all adult patients with closed two-part and three-part proximal humerus fractures who were reported within a week after the incident. Based on the sample size calculations and inclusion and exclusion criteria a total of n=35 patients were included in the study. Patients were followed up for 12months after surgery using a typical surgical method with a locking compression plate. Results: n=35 patients out of which n=19(54.2%) were males and n=16 (45.7%) were females. The distribution based on age involved in patients with fractures showed equal preponderance among 31-35 years and 20-25 years with n=9(25.71%).Neer's classification of fractures of proximal humerus was followed in this study. Most of the patients in n=25 (71.42%) cases were having Neer's Two-part fractures and three-part fractures were found in n=8(22.8%) and four-part in n=2(5.7%). The overall results in the study were 65.71% of patients had excellent results,20% had good results,8.5% had satisfactory results and 5.7% had poor results. Conclusion: Locking plates are a preferable therapeutic choice for proximal humerus fractures, particularly when the bone quality is poor and the fracture is comminuted. Complication rates can be reduced by using good surgical techniques and selecting the right situations. Proximal humeral internal locking plates continue to provide strong overall functionality.