The treatment results of patients with the proximal epimetaphysis of the humerus fractures

Background. To conduct a comparative analysis of the results of treatment of patients with humerus epimetaphysis fractures in the Republican Clinical Hospital No 4 from 2016 to 2018. Materials and methods. A retrospective analysis of the case histories of 76 patients with epimetaphysis of the humerus fractures, who were treated in the Department of Traumatology, was carried out. The structure of morbidity by gender, age, type of fracture, treatment, complications was analyzed. Depending on the type of treatment, patients are divided into groups: patients who received conservative treatment, patients who underwent surgery with “traditional” plates, patients who underwent surgery with LCP plates. Results. It was found that epimetaphysis of the humerus fracture was more often detected in women; more often two-fragment lesions of the epimetaphysis were detected. The most satisfactory treatment result and the least number of complications were observed in the study group, in which patients underwent osteosynthesis with plates with angular stability. Conclusion. It was found that the best results and the least number of complications were observed in the group of patients who was treated with plates with angular stability.