Locking plate for displaced proximal humerus fractures-outcomes and complications: a prospective study

Avinash Rathod; Gopisankar Balaji; Dilip Patro

doi:10.18203/issn.2455-4510.IntJResOrthop20194826

Authors

Avinash Rathod Department of Orthopaedics, JIPMER, Pondicherry, India
Gopisankar Balaji Department of Orthopaedics, JIPMER, Pondicherry, India
Dilip Patro Department of Orthopaedics, JIPMER, Pondicherry, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20194826

Keywords:

Humerus, Treatment outcome, Fracture fixation

Abstract

Background: The management of unstable proximal humerus fractures is controversial as many fixation techniques have evolved over the years claiming to be a better fixation device compared to the other.

Methods: 23 patients with closed displaced proximal humerus fractures were included in this study. All patients underwent open reduction and internal fixation with proximal humerus locking plate through either delto-pectoral or deltoid splitting approach. Standard shoulder rehabilitation program was used in all cases. Functional and radiological outcome were assessed at follow-up.

Results: The mean constant-Murley score achieved at 6 months was 66. Complications were reported in a total of 7 patients including 3 varus malunion, 1 valgus malunion, 2 screw penetration into the joint and 1 nonunion with implant breakage.

Conclusions: The proximal humeral locking plate seems to be an adequate device for the fixation of displaced proximal humerus fractures as 83% of our study population had good/moderate functional outcomes.

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