Functional Outcome and Complications in Management of Proximal Humerus Fractures Operated with Proximal Humerus...

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomechanics

Background:

• Proximal humerus fractures have varied treatment options, leading to ongoing clinical debate.
• Plate fixation is one surgical approach for managing these complex fractures.

Purpose of the Study:

• To analyze fracture patterns in proximal humerus fractures.
• To document functional outcomes and complications after surgical management with proximal humerus plates.

Main Methods:

• Thirty-five adult patients with closed proximal humerus fractures underwent open reduction internal fixation using a proximal humerus locking plate.
• Post-operative functional assessment utilized Constant and DASH scores.
• Complications were systematically recorded.

Main Results:

• Significant improvement in Constant and DASH scores was observed at three and six months post-surgery.
• Mean Constant score at six months was 51.80 ± 6.71.
• Two complications occurred: implant failure and varus collapse, both in Neer's type 3 fractures.

Conclusions:

• Proximal humerus plate fixation facilitates early postoperative mobilization due to angular stability.
• This early movement aids in achieving better shoulder range of motion and accelerates return to activity.
• Plate fixation offers effective maintenance of fracture reduction, contributing to favorable outcomes.