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A Clinical Study on Surgical Management of Proximal Humeral Fractures by Locking Plates

Satish Babu D.G.* , Satish Babu D.G.* , Sunil Kumar T.R.** , Harish Y.S.**

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Journal of Orthopedic Education 3(1):p 59-62, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.11

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Abstract

Introduction: Over the last 3 decades, various modalities of fixations have evolved for the proximal humerus fractures. Of this proximal humerus locking plate is the implant of choice now for treatment of displaced proximal humerus fractures since they provide rigid anatomical fixation and more angular stability. Hence, It permitsearly mobilization and good functional limb. Methodology: This was a prospective study of 21 cases of proximal humerus fractures in adults treated by surgical fixation with proximal humerus locking plate. Twenty one patients were randomly selected from among the admission to the accident ward in Department of Orthopaedics and recruited into the study prospectively. Results: The average time for fracture healing is 10.15 weeks (Ranging from 8 weeks to 15 weeks). Fracture type, comminution and presence of infection shad a significant role in fracture union. 5 patients, who had stiffness, underwent physiotherapy and attained functionally acceptable range of movements. Conclusion: Anatomical restoration of the tuberosity had direct relationship with the range of movements. Cases with good anatomical restoration had excellent results.

Keywords: Humerus Fracture; Locking Plate; Anatomical Restoration.

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.3117.11

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