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Acta Biomedica Scientia

Volume 1, Issue 2, 2013
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
STUDY OF THE OUTCOME OF TREATMENT OF THE PROXIMAL HUMERUS FRACTURES
Author
Anil K Gulia
Email
harminder697@gmail.com
keyword
Proximal humeral fracture, Conservative treatment, Surgical treatment, Neer’s Shoulder Scoring system.
Abstract
Proximal humeral fracture is one of the most common fractures in day to day practice. Various treatment modalities are present to treat this fracture including conservative and surgical methods. High energy trauma is the main culprit. Conservative treatment includes use of cuff, collar sling, U slab and shoulder immobilization. Surgical treatment includes open reduction and internal fixation with use of plating, K wiring, percutaneous pinning and nailing. Material and methods- Study included 60 patients of proximal humeral fracture treated with conservative and surgical methods. Final evaluation was done using Neer’s Shoulder Scoring system. Results- Fracture was most commonly seen in middle aged and elderly males with right side predominance. Excellent outcome was in patients receiving conservative treatment in undisplaced fractures where as surgical treatment was mainstay of treatment in displaced and unstable fractures. Conclusion- Undisplaced and stable fractures of the proximal humerus can be managed by conservative methods. In cases of displaced and unstable fractures the goal of open reduction and internal fixation was to restore proximal humeral anatomy with stability so that fracture healing occurs early with excellent functional outcome.
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