BACKGROUND: Proximal humerus fractures are commonest fractures account for about 4 – 5% of the
fractures.Complicated fracture pattern in proximal humerus are increasing due to increase inincidence of high velocity
trauma. Because of inconsistency in fracture classication, treatment and evaluation method,comparison of these fractures are impeded. This
studydetermines and compare the results of different modalities of xations in proximal humerus fractures and outcome.
MATERIALS AND METHODS: This study was done from August 2018 to February 2020 in king Georgehospital,Visakhapatnam. Total 32
patients with proximal humerus fractures were operatedwith different modalities depend on fracture pattern.The results were evaluated using the
Neers Shoulder Scoring System.
RESULTS:The results show that most Neer's two part fracture had excellent to satisfactory results (85%). Neer's three part fracture also had 73%
excellent to satisfactory results. Neer's four part fracture which went into failure. This study results were compared with other studies by using chi
square test.
CONCLUSION: The management modality depended on the pattern of the fracture andthequality of the bone .The patient's goals with
treatment options for these displaced fractures included closed reduction and percutaneous screws xation (13% cases), closed reduction and
percutaneous k- wires xation (9% cases) ,open reduction and internal xation (78 % cases).
Treatment of Two-Part Proximal Humerus Fractures: Intramedullary Nail Compared to Locked Plating
