Original Research Article
Year: 2020 | Month: September | Volume: 7 | Issue: 9 | Pages: 162-166
A Study on Surgical Outcome of Proximal Humeral Locking Compression Plate for Displaced Proximal Humeral Fractures
Saikat Ghosh1, Pradip Kumar Ghosh2, Sumanta Pal1, Debojyoti Sarkar1, Anindita De3, Sourav Naskar1
1Senior Resident, 2Associate Professor, 3Medical Officer,
Orthopedics Department, Burdwan Medical College and Hospital, West Bengal
Corresponding Author: Pradip Kumar Ghosh
ABSTRACT
Management of displaced fracture of the proximal humerus is still a controversial subject in orthopaedics. 30 patients with proximal humerus fractures were treated with open reduction and internal fixation with locking compression plates to study the surgical outcome and functional recovery of shoulder. The average time taken for union in our study was 14 weeks. All fractures remained united. Adults between 20-50 years had better functional results with respect to older age group. In the present study, 3 patients had malunited fracture, 3 had plate impingement, and 2 each had screw cut out and superficial post-operative infection, and one each had avascular necrosis and transient axillary nerve palsy. 24% (6 patients) had excellent outcome, 32% (8 patients) had good outcome, 40% (10 patients) had moderate outcome and 4% (1 patient) had poor outcome at the end of 1 year follow up. Open reduction and internal fixation with locking compression plates had favourable outcome in displaced fracture of the proximal humerus (Constant and Murley score 74.56 at 1 year follow up), but in view of complications related to incorrect surgical technique, it is important for the surgeon to perform the operation correctly to avoid iatrogenic errors.
Keywords: Locking compression plate, displaced proximal humeral fracture
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