Does the type of surgery influence the functional outcome in high-energy proximal humeral fractures? A pilot case series.

2020 ◽  
pp. 1
Author(s):  
Boris Kyurkchiev ◽  
Borislav Zlatev ◽  
Borislav Tasev ◽  
Georgi Popivanov
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
High Energy ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Type Of Surgery

scholarly journals Outcome analysis of patients with proximal humerus fractures treated with locking plates

2017 ◽  
Vol 3 (3) ◽  
pp. 401
Author(s):  
Ritesh Kumar ◽  
S. Natarajan ◽  
Sanjeev Kumar ◽  
R. Kalanithi
Keyword(s):  
Surgical Technique ◽  
Functional Outcome ◽  
Proximal Humerus ◽  
Constant Score ◽  
High Energy ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Proximal Humerus Fractures ◽  
Locking Plates ◽  
Humerus Fractures

<p class="abstract"><strong>Background:</strong> Fracture of proximal humerus incidence has been reported to be 73 cases per 100,000 individuals per year. There are different methods of treatment of proximal humeral fractures. The aim of our study is to analyse the functional outcome of proximal humerus fractures treated with proximal humerus locking plates and to analyse the possible benefits and complications of the procedure<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of 34 patients with proximal humeral fractures treated with ORIF using Proximal humeral locking plates from October 2010 to November 2012 at Saifee Hospital, Mumbai. The cases are evaluated as regards to functional outcome using constant score, fracture healing clinically, radiologically and complications if any and reason for them.<strong></strong></p><p class="abstract"><strong>Results:</strong> Our study shows that proximal humerus fractures are now increasingly seen in younger population with good bone stock following high energy trauma. In elderly it was low energy trauma. The average time of radiological fracture union in our study was 10 weeks (8-16 weeks). The mean constant score at final follow up was 66.7 (35-90). A total of 17 patients (51%) had excellent or good results, but in 9 (27%) the outcome was poor. Eight (23%) complications were noted resulting in poor functional outcome<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Proximal humeral locking plate is a good method of osteosynthesis for complex proximal humerus fractures allowing early mobilization, good functional outcome. A reproducible standard surgical technique is absolutely necessary for improved patient outcome.  Most of the complications in our study were related to the surgical technique. The precise surgical technique, stable fracture fixation and restoration of correct neck shaft angle are absolutely necessary for improved outcome<span lang="EN-IN">.</span></p>

Functional outcome following one-part proximal humeral fractures: A prospective study

2008 ◽  
Vol 17 (2) ◽  
pp. 216-219 ◽  
Author(s):  
Nirmal C. Tejwani ◽  
Frank Liporace ◽  
Michael Walsh ◽  
Monet A. France ◽  
Joseph D. Zuckerman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
A Prospective Study

scholarly journals Primary Hemiarthroplasty for Proximal Humeral Fractures in the Elderly: Long-Term Functional Outcome and Social Implications

2007 ◽  
Vol 33 (5) ◽  
pp. 512-519 ◽  
Author(s):  
Michael Dietrich ◽  
Christoph Meier ◽  
Daniela Zeller ◽  
Patrick Grueninger ◽  
Roger Berbig ◽  
...  
Keyword(s):  
Functional Outcome ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Social Implications

scholarly journals Functional outcome following external fixator (JESS) application for proximal humeral fractures

2016 ◽  
Vol 2 (4) ◽  
pp. 303
Author(s):  
Om P. Gupta ◽  
Arun Vashisht ◽  
Avinash Rastogi ◽  
Naman Gupta ◽  
Utkarsh Shahi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
External Fixator ◽  
Scoring System ◽  
Young Patients ◽  
High Energy ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Average Score ◽  
Soft Tissue Dissection ◽  
Tissue Dissection

<p class="abstract"><strong>Background:</strong> Proximal humeral fractures account for 5% of all fractures. Observed frequently in older osteoporotic patients but found in young patients with high-energy trauma.About 80% of these fractures are undisplaced or minimally displaced. Non-operative method requiring immobilization of shoulder often leads to a stiff shoulder, whereas surgical procedures such as plating need excessive soft tissue dissection. It was overcome in this study by less soft tissue dissection by use of external fixator application and early mobilization.</p><p class="abstract"><strong>Methods:</strong> Total of 18 patients mean age 40.5 years, predominantly male (16/18) treated with external fixator - JESS (Joshi’s external immobilization system) for Neer’s two, three and four part proximal humeral fractures. Vehicular accidents were the most common mode of injury followed by fall. There were 8 cases each of Neer's two and three part fractures. Shoulder mobilization started within a week as postoperativelyas pain allowed. Patients followed up at 3, 6, 12 and 18 weeks for pain, function, range of motion and anatomy with check X-ray. After radiological union at 8-10 weeks JESS was removed. Cases were evaluated for functional result by constant scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> Average score on constant scoring system was 72 after a mean follow-up of 6 months. All fractures united in mean duration of 9.33 weeks. The complications included shoulder stiffness in one case and pin tract infection in two cases.</p><strong>Conclusions:</strong> Early shoulder mobilization a prerequisite for good results can be achieved without compromising fracture union. Less soft tissue dissection required and significant cost effective.

scholarly journals Functional outcome of proximal humeral interlocking system plating for displaced proximal humeral fractures in adults

2017 ◽  
Vol 3 (2a) ◽  
pp. 32-37
Author(s):  
Dr. Siddalingamurthy G ◽  
Dr. Ravi Kiran HG ◽  
Dr. Abhilash Gowd B ◽  
Dr. Darshan CK ◽  
Dr. Mruthyunjaya
Keyword(s):  
Functional Outcome ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures

scholarly journals Clinico-radiological and functional outcome of Neer’s 2 part, 3 part and 4 part proximal humeral fractures in elderly treated by conservative management in a tertiary care centre of North India

2021 ◽  
Author(s):  
Pankaj Spolia ◽  
Abdul Ghani
Keyword(s):  
Elderly Patients ◽  
Prospective Study ◽  
Functional Outcome ◽  
Constant Score ◽  
Tertiary Care ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
North India ◽  
Excellent Outcome

<p><strong>Background:</strong> Treatment of proximal humeral fractures is challenging. Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for the elderly patients. The aim of this prospective study was to evaluate the radiological in terms of union and functional outcome in terms of pain, range of motion of conservatively managed proximal humeral fractures in elderly patients.</p><p><strong>Methods:</strong> This was an observational prospective study of 35 patients aged above 65 years with proximal humeral fractures including 2 part, 3 part and 4 part based on Neer’s classification, treated by conservative method. Functional outcome was assessed by using Constant score at follow up of 1 year.</p><p><strong>Results: </strong>Out of 35 patients, 21(60%) were female and 14 (40%) were male with mean age of 76.8 (range 65 to 91years). On the basis of Neer’s classification, majority of patients (15, 42.8%) had 3 part fracture. Radiological union was achieved within 13 to 24 weeks, with an average of 18.4 weeks. Out of 35, 5 (14.3%) had<strong> </strong>excellent outcome, 8 (22.8%) had good functional outcome, 16 (45.7%) had moderate outcome, 6 (17.14%) had poor outcome. The results were comparable with the existing literature.</p><p><strong>Conclusion: </strong>In the present study, our data shows that the proximal humeral fractures can be effectively managed conservatively in the elderly patients. Two part fractures have best functional outcome and four part fractures have highest rate of complications.</p>

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