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Volume 3 Issue 2 (April - June, 2015)

Original Articles

A clinical Study of outcomes of locking plate fixation in management of Proximal Humerus Factures
Dr. Vivek Phanswal, Dr. Hitesh Sehrawat

Background: Proximal Humerus fractures have a substantial impact on personal function and well-being and are one of the leading causes of excessive mortality among the elderly. Aims and Objectives: To study outcomes of fracture proximal humerus in adults treated with proximal humerus locking plate at tertiary health care center. Methodology: This was a cross-sectional study carried out in the patients of proximal humerus fracture at the department of Orthopedics of a tertiary health care center during the one-year period i.e. Feb 2014 to Jan 2015. During the one-year period there were 61 patients included into the study after written and explained consent. All patients undergone proximal humerus locking plate operations as per the standard operating protocols and procedures. All the necessary data like Age of the patients, sex, Outcome and any associated complications were noted. The data was presented in the percentages and in tabular form. Result: In our study we have seen that The majority of the patients were in the age group of >60 were 40.98%, followed by 50-60 were 27.87%, 40-50 were 19.67%, 30-40 were 8.20%, 20-30-3.28%. The majority of the patients were Female i.e. 68%, followed by Male were 32%.The majority of the patients were improved 80%, 20% were associated with complications like Avascular necrosis in 10%, Screw cutout occurred in 7%, Revision surgery required in 3%. Conclusion : It can be concluded from our study that the most common age of fracture was >60 the majority of the patients were females most of the patients improved; Locking plate fixation was a good surgical option for the management of proximal humerus fractures except with some complications like Avascular necrosis, Screw cutout occurred, Revision surgery required etc. Keywords: Osteoporosis, fracture proximal humerus, Proximal humerus locking plate, Avascular necrosis of Femur.

 
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