Volume : IV, Issue : III, March - 2014

Comparison of the Results and Outcomes of the Different Modalities (closed v/s open) of the Treatment of the Proximal Humerus Fractures

Dr. Hiren K. Patel, Dr. Ankit B. Kediya, Dr. J. V. Modi

Abstract :

We revieved 60 patients prospective as well as retrospectively. We  compared the results of various modalities of treatment in proximal humerus fracture.Patients with fracture of proximal humerus [Neer’s classification[3,11,12,13]:grade 2, grade 3 & grade 4] were included. Medically unfit patients, patients with open physis, shaft humerus fractures with proximal extension, Neer’s one part fracture, open fractures, neurovascular injuries were excluded. Resuls were compared in terms of functional and radiological results. Four part and three part fractures constituted the commonest types. 9 (60%) patients with 2 part fractures had been treated with ORIF. Among 3 part fractures, 11 (50%) patients had been treated with percutaneuos method and rest 11 (50%) had been treated with open methods. 17 (74%) patients of the 4 part fractures had been treated with HRA. Total of 82.46% fractures showed radiological union between 8–12 weeks period. The restriction of ROM was more commonly seen in closed method due to prolonged period of immobilization. Overhead abduction was mainly affected in HRA group and percutaneous group showed intermediate results. Mean constant score in percutaneous method is 79.2, ORIF method is 84.7 and HRA method is 77.35. The final score obtained by all the treatment modalities showed comparable results and they were not statistically significant.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DR. HIREN K. PATEL, DR. ANKIT B. KEDIYA, DR. J.V. MODI Comparison of the Results and Outcomes of the Different Modalities (closed v/s open) of the Treatment of the Proximal Humerus Fractures Indian Journal of Applied Research, Vol.IV, Issue. III

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