Volume : VIII, Issue : VII, July - 2018

Proximal Humerus Fractures in elderly: Plating or K wires ?

Amarjeet Singh, John Muhammad

Abstract :

This is a prospective study compå PHILOS plating and percutaneous K–wire fixation of proximal humerus fractures in elderly. We reviewed a total of 30 patients with proximal humerus fractures in 15 patients (Group 1), who were treated by open reduction and internal fixation with Proximal Humeral Internal Locking System (PHILOS) plate and 15 patients (Group 2) who were treated with percutaneous K–wire fixation. Functional outcome was assessed using Visual Analogue Scale(VAS) and Constant–Murley Score. Mean Constant–Murley score was 82.4 points (range: 61–100) in Group 1 and – 75.1 points(range:56–100) in Group 2 at final follow up. Values varied depending upon the fracture type with worst in 4–part fractures. Mean VAS Score was 3.6(range:0–10) in Group 1 and 4.2 (range:0–10) in Group 2. We obtained satisfactory results in both the groups, with each procedure having its advantages and shortcomings. We found that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range–ofmotion exercises to achieve acceptable functional results. Fixation with percutaneous K–wires presented an efficient treatment option with the advantages of minimal invasiveness and soft tissue dissection.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Amarjeet Singh, John Muhammad, Proximal Humerus Fractures in elderly: Plating or K wires ?, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-7 | July-2018

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