Online ISSN: 2515-8260

Keywords : Proximal humerus fracture

Study of functional outcome of multiple percutaneous pinning for proximal humerus fracture

Dr. Mohammed Aquib Shakeel, Dr. E Venkateshulu, Dr Srinivas Devapur, Dr. Aditya K Medhavi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2809-2819

Introduction: Proximal humerus fractures account for 4-5% of all fractures, it is the second most common fracture of the upper extremity, these fractures have a bimodal age distribution. Women are affected more than men. About 80% of these fractures are un-displaced according to NEER’s criteria and, only 20% are displaced and require operative interference. However various methods of internal fixation have been proposed, for full functional recovery anatomical reduction, stable fixation, early mobilisation are required. The blood supply of the head of the humerus is at risk, however not only from the injury also from the dissection of soft tissues at ORIF. The incidence of mal-union, non-union and avascular necrosis (AVN) after percutaneous pinning is less and limited exposure and minimal dissection of the soft tissues at the fracture site is recommended. Our aim was to evaluate the functional outcomes of proximal humerus fractures treated with multiple percutaneous k wires.
Methods: This is a prospective study of 20 patients with proximal humerus fracture treated by percutaneous pinning with K-wires from June 2019 to June 2021 were clinically and radio graphically analysed. Functional assessment of final results are noted using Neers scoring system.
Results: According to Neers score 5 had excellent results (25%), 11 had satisfactory results (55%), 3 had unsatisfactory (15%) and 1 patient had failure (5%).
Conclusion: From the present study it is concluded that the treatment of proximal humerus fracture is closed reduction with percutaneous pinning with K wire fixation, as it is least time consuming, biological fixation, easy to operate, less soft tissue damage with good functional outcome.

Treatment of proximal humerus fractures using philos plate

Dr. Rahul Kumar, Dr. Wasim Ahmed, Dr. Santosh Kumar, Dr. Rajni Kumari

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 760-765

Background: The proximal humerus fractures are not easy to handle and are the second most
common fractures of the upper extremity. The aim of the study is to analyze the treatment
outcome of proximal humerus fractures using Philos Plate.
Methods: The present study included 40 patients from May 2019 to May 2021 who
underwent PHILOS plate fixation for displaced proximal humeral fractures using the
PHILOS plating system in the department of Orthopaedics, IGIMS, Patna.
Results: Patients were followed up for 6 to 18 months. The mean Constant shoulder score
was 75 (range 28–88). 14 patients had a score exceeding 75,11were scored between 50 and
75, and 10 were below50. Constant scores in 2-, 3- and 4-part fractures were compared.
Conclusion: In the present study, PHILOS plate fixation provided stable fixation with
minimal metal work problems and enabled early range-of-motion exercises to achieve
acceptable functional results. However, the choice of treatment should be based on patient
age, functional requirements, bone quality and fracture pattern.