Open reduction and fixation of proximal humeral fractures and fracture-dislocations

Moda, SK; Chadha, N. S; Sangwan, SS; Khurana, DK; Dahiya, AS; Siwach, Ramchander

doi:10.1302/0301-620x.72b6.2246287

Cited by 80 publications

(33 citation statements)

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“…The incidence of infection after rotator cuff repair ranges between 0.27% to 1.9% [3,18,27,28,37], whereas the incidence after shoulder arthroplasty ranges from 0% and 15.4% [9,11,38,41,44]. Infections after proximal humerus fractures are less common [4,29,32,40,46]. P. acnes is being recognized as a causal agent in shoulder infections with increasing frequency [3,7,14,18,33,35,37,39,45].…”

Section: Introductionmentioning

confidence: 99%

Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain: A Case Series

Millett

Yen

Price

et al. 2011

Clinical Orthopaedics &Amp; Related Research

110

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Section: Introductionmentioning

confidence: 99%

Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain: A Case Series

Millett

Yen

Price

et al. 2011

Clinical Orthopaedics &Amp; Related Research

110

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“…The best results are obtained if the fracture is well reduced and planned rehabilitation program followed. 12 Szyszkowitz et al showed that fractures for open reduction and internal fixation which can be anatomically reduced. The present study was conducted to assess the results of two-part, three-part and four proximal humeral fractures treated by open reduction internal fixation by locking compression plate.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of proximal humerus fracture treated with locking compression plate

Arumugam

Raviraman

2017

Int J Res Orthop

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Background: Proximal humerus fractures accounts for about 4 to 5% of all fractures. Treatment of unstable, displaced, and comminuted fractures of the proximal humerus remain challenging. Significant controversy continues regarding the best methods of treating displaced proximal humerus fractures. Various operative procedures are carried out, the recent trend in internal fixation has moved on to locking plates. The present study is undertaken to evaluate the functional outcome and complication of proximal humerus fractures treated by locking compression plate.Methods: This is a prospective study comprising of 30 patients with fractures of proximal humerus were treated by open reduction and internal fixation with locking compression plate were evaluated at Velammal Institute Of Medical Sciences, Madurai from the period of April 2015 to December 2016. Clinical and radiological evaluation was done. Patients will undergo open reduction internal fixation with locking compression plate for the sustained fracture under general anesthesia.Results: In our series, the majority of the patients were males, elderly aged, with RTA being the commonest mode of injury, involving 2 part, 3 part and 4 part fractures of the proximal humerus. Excellent and satisfactory results were found in 76.7% of patients with unsatisfactory results in 23.3 % according to Neer’s criteria. There were 100 % union rates and no failures.Conclusions: In conclusion locking Compression, the plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization.

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“…Our study has similar results compared with other studies of surgical management of the proximal humerus. 25,[30][31][32][33][34][35][36] Proximal humerus fractures occur more commonly in the middle age group. Numerous age-related studies point toward this, and our study is consistent with this finding.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

Ramesh¹,

Goel²,

Kiran³

et al. 2016

The Journal of Medical Sciences

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Introduction Proximal fractures of the humerus account for about 4 to 5% of all fractures. They are the most common fractures in elderly population. Treatment of unstable, displaced, and comminuted fractures of the proximal humerus remains challenging. Objectives The present study is undertaken to evaluate the functional outcome of proximal humerus fractures treated by locking compression plate in 20 patients. Materials and methods Prospective study was done involving 20 adult patients with proximal humerus fractures admitted from October 2012 to December 2013 treated by open reduction and internal fixation (ORIF) with locking compression plate. The functional follow-up was done for a minimum period of 3 months and the patients were evaluated by Constant Murley scoring (CMS). Results In our series, the majority of the patients were middle-aged males, with road traffic accidents (RTAs) being the most common cause of injury, involving 2-part, 3-part, and 4-part fractures of the proximal humerus. The fractures were united in 19 patients and 1 patient had avascular necrosis (AVN). Excellent results were seen in 15% of patients, good results in 55%, moderate results in 15%, and poor results in 15% according to CMS. There were 95% union rates, 5% of AVN, and no failures. Conclusion In conclusion, locking compression plate is an advantageous implant in proximal humerus fractures due to angular stability, particularly in comminuted fractures and in osteoporotic bones of elderly patients, which allows their early mobilization. How to cite this article Mahesh G, Kiran KC, Ramesh KV, Kumar R. Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures. J Med Sci 2016;2(1):1-8.

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Open reduction and fixation of proximal humeral fractures and fracture-dislocations

Cited by 80 publications

References 0 publications

Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain: A Case Series

Propionobacter acnes Infection as an Occult Cause of Postoperative Shoulder Pain: A Case Series

Surgical management of proximal humerus fracture treated with locking compression plate

Functional Outcome of Locking Compression Plate in Neer's two-part, three-part, four-part Proximal Humerus Fractures

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