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Category: Volume 07 Issue 02 February 2019
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Title: Study of Operative Management of Proximal Humerus Fracture Treated with Locking Plates at Trauma Center Bikaner, Rajasthan

Authors: Surender Kumar Chopra, Sanjay Malhotra, Vivek Kumar Bagadia

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.01

Abstract

Background: Fractures of the proximal humerus account for 5.7% of all fractures, with an incidence rate of 63 cases per thousand adult individuals per year.

Methods: Hospital based Observational study conducted at Trauma center Sardar Patel Medical College, Bikaner. 50 patients were included.

Results: The mean time for radiological union was 9.8 weeks (8- 12 weeks). At the final follow-up, the mean Constant shoulder score was 82.  The results were excellent in 28 patients, good in 14 patients, fair in 5 patients and poor in 3 patients. Other complications were not symptomatic enough to undergo additional surgery. No cases of Infection, AVN, hardware failure, locking screw loosening or non-union were noted.

Conclusion: Philos plate provides stable fixation in proximal humerus fractures. Additionally, meticulous surgical dissection to preserve vascularity of humeral head is necessary to prevent potential complications such as AVN.

Keywords: Locking plates, Proximal humerus fracture, Philos.

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Corresponding Author

Sanjay Malhotra

Resident, Trauma Center Sardar Patel Medical College Bikaner, India