English

Abstract

The aim of the study was to evaluate the functional outcome in patients treated with proximal humeral fracture who were treated with minimally internal fixations like K-wires, osteosutures etc. Accurate definition of the type of fracture, patient compliance problems that limit rehabilitation medical co-morbidities affecting prognosis, and time from injury to treatment are critical factors affecting outcomes of these injuries. Additionally, technical factors in the surgical reconstruction of these fractures require surgical experience that few surgeons have the opportunity to develop. 2 About 2 to 3 % of upper extremity fractures occur in proximal humerus and 3/4 th of these fractures occur after 60 years of age and commonly seen in women. More than 85% of proximal humerus fractures are minimally displaced. In the remaining 15% of fractures, only a few are severe fracture dislocations, about which much debate is centered.3, 4 The aim of the study was to evaluate the functional outcome in patients treated with proximal humeral fracture who were treated with minimally internal fixations like K-wires, osteosutures etc. MATERIALS AND METHODS: This study was conducted at PSG Institute of Medical Science and Research, Coimbatore. Our study was a retrospective study and involved 21 patients with proximal humerus fractures that were treated by minimal internal fixation. The age of our patients ranged from 21 to 70 years. Fractures were classified according to Neer's classification system. Patients were initially assessed for airway, breathing and circulation. Initial immobilization was done for the affected arm with a sling. Assessment was also done for associated injuries. Routine antero posterior and lateral radiographs were taken and CT-Scan was done if needed.