Functional and Radiological Outcome by Various Modalities of Surgical Fixation of Proximal Humerus Fracture.

Background: In this study, we wanted to test the efficacy and functional outcome of locking compression plate in proximal humerus fractures, evaluate the incidence of complication that may occur with locking compression plate in proximal humerus fractures, study different modalities of fixations in proximal humerus fractures, and assess and compare the functional outcome. Material and Methods: This was a hospital based observational study conducted among 20 patients who were diagnosed with proximal humerus fracture attending the Department of Orthopaedics, Deccan College of Medical Sciences, Tertiary Care Centre, Hyderabad, from October 2018 to August 2019 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: ORIF with LCP (35%) was the most common modality of treatment. Percutaneous pinning was done in 20% of the patients. 15% of them had CRIF with IM nails. ORIF with k wires and ORIF with k wires and cancellous wires were done in 10% of patients each. Shoulder hemiarthroplasty and ORIF with Ethibond suture were done in 5% of patients each. 55% of the patients developed complications in the post-operative period in the form of infections and stiffness. Of the twenty patients, four (20%) had excellent results, thirteen patients (65%) had satisfactory results, one (5%) had unsatisfactory results and one (5%) was a failure. Conclusion: Proximal humerus fractures are more common in 30-39 years and 40-49 years. It is more common in females. The most common cause is RTA. 2-part fracture is most common. ORIF with LCP was the most common modality of treatment. About half the patients had complications in the form of infections and stiffness. [ABSTRACT FROM AUTHOR]