TREATMENT OF PROXIMAL HUMERUS FRACTURES AND OUTCOME – A PROSPECTIVE STUDY

2021 ◽  
pp. 84-87
Author(s):  
S. Kishore Babu ◽  
S. Rajeswara Rao ◽  
Pamu.bala Avinash
Keyword(s):  
Closed Reduction ◽  
Evaluation Method ◽  
Proximal Humerus ◽  
Treatment Options ◽  
Method Comparison ◽  
Fracture Pattern ◽  
Proximal Humerus Fractures ◽  
Chi Square ◽  
Study Results ◽  
Humerus Fractures

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 classication, 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).

scholarly journals A Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring of Neer’s 2-Part and 3-Part Proximal Humerus Fractures

2020 ◽  
Vol 7 (40) ◽  
pp. 2247-2250
Author(s):  
Mahesh Gangaiah ◽  
Monesh Kanakappa Basavaraj ◽  
Balaraj Gowda Hanumantappa ◽  
Girish Halasinanagenahalli Rudrappa ◽  
Balakrishnan Honnapura Doppapettigama ◽  
...  
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Plate Versus ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures

scholarly journals Skin Entrapment in an Un-displaced Proximal Humerus Fracture Treated with Closed Reduction; A Case Report

2016 ◽  
Vol 10 (1) ◽  
pp. 120-124
Author(s):  
Michael Hughes ◽  
Antonio Frasquet-Garcia ◽  
Mobeen Ismail ◽  
Mohammad Waseem
Keyword(s):  
Closed Reduction ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Rare Complication ◽  
Low Energy ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
The United Kingdom ◽  
Literature Searches ◽  
Humerus Fractures

Background: Proximal humerus fractures are a common presentation to Orthopaedic services in the United Kingdom, and the incidence is increasing. Proximal humerus fractures are usually associated with low energy trauma in elderly patients. There is a sub-set of younger patients who suffer low energy fractures due to underlying osteopenia, commonly associated with alcohol excess. Skin puckering or dimpling has been described as a very rare complication of proximal humerus fracture. Based on the few previously published reports of this complication, skin entrapment in proximal humerus fracture is usually predictive of failure of closed reduction, and need for open surgery. Methods: Literature searches were carried out for relevant keywords. Articles were then critically appraised before being included in the literature review. Results: The Authors were only able to identify three previous reports of this rare complication. Conclusion: The authors describe a rare case of skin interposition in an un-displaced proximal humerus fracture, outline a technique for closed reduction, and review the current literature surrounding this rare complication.

scholarly journals The use of locking plates in proximal humerus fractures-functional outcome based on age and fracture pattern

2018 ◽  
Vol 4 (2.7) ◽  
pp. 889-892
Author(s):  
Dr. S Makesh Ram ◽  
Dr. M Antony Vimal Raj ◽  
Dr. G Mohan ◽  
Dr. Anand ◽  
Dr. M Rathna Kumar ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Fracture Pattern ◽  
Proximal Humerus Fractures ◽  
Locking Plates ◽  
Humerus Fractures

COMPARATIVE EVALUATION OF FUNCTIONAL OUTCOME OF OPEN REDUCTION AND INTERNAL FIXATION WITH PHILOS AND CLOSED REDUCTION AND PERCUTANEOUS FIXATION WITH K-WIRES IN PROXIMAL HUMERAL FRACTURES

2021 ◽  
pp. 44-47
Author(s):  
Atul K. Dwivedi ◽  
Lakhan Singh Maravi ◽  
H. S. Varma ◽  
Ashish Sirsikar
Keyword(s):  
Functional Outcome ◽  
Closed Reduction ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Percutaneous Fixation ◽  
Group A ◽  
Humerus Fractures ◽  
K Wires ◽  
Group B ◽  
A Prospective Study

Background: Fracture of the proximal humerus represents the second most common (29.1%) fracture type in the upper extremity after Colle's fracture (37.2%) of the wrist. Signicant controversy continues regarding the best modality for treating displaced proximal humerus fractures. The objective of our study is to comparatively evaluate the functional outcome of ORIF with Proximal Humerus Internal Locking System (PHILOS) and Close Reduction and Percutaneous Fixation with K-wires in proximal humerus fractures. Method: A prospective study was conducted after getting ethical approval at N.S.C.B. Medical College & Hospital, Jabalpur, (M.P.) upon 50 cases admitted with proximal humerus fractures as per inclusion criteria. 25 cases were treated with PHILOS plate in group A and 25 patients were treated with Closed Reduction and Percutaneous Fixation with K-wires in group B. Post op follow up was done at 6 weeks and 12 weeks and functional outcome evaluated by Neer's scoring criteria. Results: Out of 50 cases, excellent scores was obtained in 22 (88%) cases treated with PHILOS in group A, and 18 (72%) cases treated with k-wire xation in group B, satisfactory score was obtained in 3 (12%) in Group A and 6 (24%) in Group B. Conclusion: We obtained excellent results in both groups with each procedure having its own advantage and disadvantages. We found that PHILOS provides secure xation with better functional outcome in terms of range of motion. Fixation with Percutaneous K-wires is also efcient treatment option with intraoperative advantage in terms of invasiveness, blood loss and time taken for surgery with least tissue dissection than PHILOS plating

scholarly journals Evaluation of mushroom-shaped allograft for unstable proximal humerus fractures

2020 ◽  
Author(s):  
Lukas Dankl ◽  
Werner Schmoelz ◽  
Romed Hoermann ◽  
Simon Euler
Keyword(s):  
Humeral Head ◽  
Locking Plate ◽  
Proximal Humerus ◽  
Treatment Options ◽  
Test Group ◽  
The Elderly ◽  
Bending Test ◽  
Control Group ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

Abstract Introduction Proximal humerus fractures are common injuries of the elderly. Different treatment options, depending on fracture complexity and stability, have been recommended in the literature. Particularly for varus displaced fractures with a lack of medial support, and patients suffering from osteoporosis, structural allografts can be used to enhance the stability of the construct. An individually shaped allograft has been suggested in the literature and investigated in a clinical setting. However, biomechanical properties have yet to be evaluated. Materials and methods Twenty-four fresh-frozen humeri and 12 femoral heads were obtained, and an unstable three-part fracture of the humeral head was simulated. Fracture fixation was achieved by using a locking plate in both groups. In the test group, a mushroom-shaped allograft was tailored out of a femoral head to individually fit the void inside the humeral head. Specimens were fitted with a 3D motion analysis system and cyclically loaded with a stepwise increasing load magnitude in a varus-valgus bending test until failure or up to a maximum of 10,000 load cycles. Results The mushroom group reached a significantly higher number of load cycles (8342; SD 1,902; CI 7133–9550) compared to the control group (3475; SD 1488; CI 2530–4420; p < 0.001). Additionally, the test group showed significantly higher stiffness values concerning all observational points (p < 0.001). Conclusion This mushroom-shaped allograft in combination with a locking plate significantly increased load to failure as well as stiffness of the construct when exposed to varus-valgus bending forces. Therefore, it might be a viable option for surgical treatment of unstable and varus displaced proximal humerus fractures to superiorly prevent loss of reduction and varus collapse.

scholarly journals Plate osteosynthesis of proximal humerus fractures: treatment options and technical advancements

2021 ◽  
Vol 35 (1) ◽  
pp. 39-48
Author(s):  
Paolo Paladini ◽  
Antonio Padolino ◽  
Giovanni Merolla ◽  
Carlo Alberto Augusti ◽  
Giuseppe Sircana
Keyword(s):  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

scholarly journals Treatment options for proximal humerus fractures: A prospective study

2019 ◽  
Vol 5 (2.2) ◽  
pp. 123-127
Author(s):  
Anil Kumar Joshi ◽  
Chetan Giroti ◽  
Dhaval Gotecha ◽  
Firoz Ahmad ◽  
Saurabh Singh
Keyword(s):  
Prospective Study ◽  
Proximal Humerus ◽  
Treatment Options ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures ◽  
A Prospective Study
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