E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Study of operative management for complex fracture of upper end of Humerus

Archit Shashankkumar Gandhi, Parimal Jayantilal Patel, Bhavik Y Dalal, Rohit B Shah.

Abstract
Background: Proximal humerus fractures are very common fractures occurring in the skeleton. They account for approximately 4 5% of the fracture attendance at the hospital. It is the most common fracture of shoulder girdle. It is the 3rd most common fracture in elderly. Till date various methods are used including percutaneous and open reduction & fixation according to fracture type.

Aims & Objective: To study the occurrence, mechanism of injury and displacement of various types of fractures and different modalities of the fixations in proximal humerus fractures. Come to conclusion about preferred modality of treatment of proximal humerus fractures according to the pattern of fracture.

Material and Methods: In present study 44 patients of complex fracture of proximal humerus treated with either open reduction internal fixation or percutaneous fixation from 2009 to 2012. Follow up assessment was done by Constant score.

Results: Radiological union occur at about 8 to 12 weeks. Closed reduction and percutaneous k wire or cancellous screws fixation showed excellent results in majority cases of 3 -part fracture. All 4 part fractures are treated with ORIF. Open reduction and internal fixation with locking compression plates showed good results among all implants used.

Conclusion: Principle of fixation is reconstruction of the articular surface, including the restoration of the anatomy, stable fixation, with minimal injury to the soft tissues preserving the vascular supply, should be applied. Majority of poor results are due to poor surgical techniques and lack early physiotherapy.

Key words: Complex Proximal Humerus Fracture; Locking Plate; Percutaneous Fixation; Hemiarthroplasty; Deltopectoral Approach


 
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How to Cite this Article
Pubmed Style

Gandhi AS, Patel PJ, Dalal BY, Shah RB. Study of operative management for complex fracture of upper end of Humerus. Int J Med Sci Public Health. 2013; 2(4): 940-945. doi:10.5455/ijmsph.2013.150720131


Web Style

Gandhi AS, Patel PJ, Dalal BY, Shah RB. Study of operative management for complex fracture of upper end of Humerus. http://www.ijmsph.com/?mno=40672 [Access: October 22, 2018]. doi:10.5455/ijmsph.2013.150720131


AMA (American Medical Association) Style

Gandhi AS, Patel PJ, Dalal BY, Shah RB. Study of operative management for complex fracture of upper end of Humerus. Int J Med Sci Public Health. 2013; 2(4): 940-945. doi:10.5455/ijmsph.2013.150720131



Vancouver/ICMJE Style

Gandhi AS, Patel PJ, Dalal BY, Shah RB. Study of operative management for complex fracture of upper end of Humerus. Int J Med Sci Public Health. (2013), [cited October 22, 2018]; 2(4): 940-945. doi:10.5455/ijmsph.2013.150720131



Harvard Style

Gandhi, A. S., Patel, P. J., Dalal, B. Y. & Shah, R. B. (2013) Study of operative management for complex fracture of upper end of Humerus. Int J Med Sci Public Health, 2 (4), 940-945. doi:10.5455/ijmsph.2013.150720131



Turabian Style

Gandhi, Archit Shashankkumar, Parimal Jayantilal Patel, Bhavik Y Dalal, and Rohit B Shah. 2013. Study of operative management for complex fracture of upper end of Humerus. International Journal of Medical Science and Public Health, 2 (4), 940-945. doi:10.5455/ijmsph.2013.150720131



Chicago Style

Gandhi, Archit Shashankkumar, Parimal Jayantilal Patel, Bhavik Y Dalal, and Rohit B Shah. "Study of operative management for complex fracture of upper end of Humerus." International Journal of Medical Science and Public Health 2 (2013), 940-945. doi:10.5455/ijmsph.2013.150720131



MLA (The Modern Language Association) Style

Gandhi, Archit Shashankkumar, Parimal Jayantilal Patel, Bhavik Y Dalal, and Rohit B Shah. "Study of operative management for complex fracture of upper end of Humerus." International Journal of Medical Science and Public Health 2.4 (2013), 940-945. Print. doi:10.5455/ijmsph.2013.150720131



APA (American Psychological Association) Style

Gandhi, A. S., Patel, P. J., Dalal, B. Y. & Shah, R. B. (2013) Study of operative management for complex fracture of upper end of Humerus. International Journal of Medical Science and Public Health, 2 (4), 940-945. doi:10.5455/ijmsph.2013.150720131





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