Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature

Acta of Shoulder and Elbow Surgery | Volume 4 | Issue 1 | January-June 2020 | Page 15-19 |  Dheeraj Attarde, Dhruv Verma, Chetan Puram, Chetan Pradhan, Atul Patil, Parag Sancheti, Ashok Shyam

Authors:  Dheeraj Attarde [1], Dhruv Verma [1], Chetan Puram [1], Chetan Pradhan [1], Atul Patil [1], Parag Sancheti [1], Ashok Shyam [1,2]

[1] Department of Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.
[2] Indian Orthopaedic Research Group, Thane, India.

Address of Correspondence
Dr. Dheeraj Attarde,
Sancheti Institute of Orthopaedics and Rehabilitation, Pune, India.


Objective: To report the outcomes of proximal humerus fracture operated with angular stability locking plate with regards to fracture pattern.
Design: Prospective clinical study.
Setting: Level 1 trauma center.
Patients: During a 24-month period, 99 patients with proximal humerus fracture with OTA type 11A, 11B, 11c were treated operatively with open reduction and internal fixation with angular stability locking plate at a level 1 trauma center. 37 patients were OTA type 11A, 33 and 29 patients were OTA 11B and OTA 11C respectively.
Main Outcome Measurements: Radiological outcome, functional outcome and complication of proximal humerus fractures with respect to fracture pattern, age, and gender.
Results: At 1 year follow up DASH score, Constant Murley score and range of motion showed a significant difference with respect to fracture type. Outcome was better in <50years of age group while gender showed no difference. Varus collapse was observed with 5 cases, stiffness and restricted mobility in 4 patients, implant loosening and avascular necrosis in 3 patients each, post op infection, rotator cuff weakness, screw backout, screw penetration and sub acromial impingement due to superior plate placement was found in 1 patient each.
Conclusions: Angular Locking plate fixation for proximal humerus fracture gives satisfactory results, good functional and radiological outcome. Occurrence of complications is independent of age and gender. Older patients (>50 years of age) have inferior functional outcomes as compared to younger patients (<50 years of age).
Keywords: PHILOS, Angular stability locking compression plate, Proximal humerus fracture, Neer’s fracture.


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How to Cite this article: Attarde D, Verma D, Puram C, Pradhan C, Patil A, Sancheti P, Shyam A | Proximal Humerus Fracture: Surgical Outcome and Complications in A Prospective Study Of 99 Patients and review of literature | Acta of Shoulder and Elbow Surgery | January-June 2020; 4(1): 15-19.

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