Volume : V, Issue : XII, December - 2016

SHORT TERM OUTCOME OF FRACTURE DISLOCATION PROXIMAL HUMERUS 30 OPERATED CASES.

Sandeep V Patil, Sameer Ashar

Abstract :

 ?is is a prospective study of 30 cases of fracture dislocation proximal humerus fracture treated surgically during September 2013 to October 2015. As the patient came to trauma ward Shoulder was immobilized. Antero posterior and axial radiographs were taken. In all the patients either general/regional anaesthesia used and either supine position or beach chair position with delto pectoral approach used. All the fractures fixed with either PHILOS plate or Neer’s fixed hemi prosthesis As pain permitted, pendulum exercise started, muscle strengthening except for rotation started at 4 weeks. ER against resistance started usually at 06 weeks. Follow up at 15days, 6 weeks, 3 and 6 months, 1 year and then yearly thereafter done. At each follow up x–rays taken and Quick dash scores noted. Results; – Neer’s type 3 fracture dislocation was commonest. In patients with good tuberosity reconstruction had good final ROM on both plate and prosthesis group. excellent to good functional results in 80% patients. Complications were infection (6%) stiffness (6%), screw perforation (3%) and instability (3%). Limitations being short duration and small number of patients In conclusion fracture dislocation of proximal humerus is difficult to treat satisfactorily with current surgical modalities and require better understanding of pathoanatomy and better reconstructive protocol.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

SANDEEP V PATIL, SAMEER ASHAR, SHORT TERM OUTCOME OF FRACTURE DISLOCATION PROXIMAL HUMERUS 30 OPERATED CASES., International Journal of Scientific Research, Volume : 5 | Issue : 12 |December 2016

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