Functional Outcome of Joshi External Stabilisation System for Proximal Humerus Fractures in Tertiary Care Centre

Abstract

Background: Proximal humerus fractures account for 4-5% of all fractures. The treatment options for fractures of proximal humerus includes transosseous suture fixation, intramedullary nailing, open reduction and internal fixation using plate and percutaneous pinning. The ideal treatment of displaced proximal humeral fracture is still the centre of scientific debate. Various minimally invasive modalities have been on the rise for the past 10/15 years. This minimally invasive fixation method allows preservation of blood supply of the humeral head. The smaller K-wires used in JESS have lesser risk of soft tissue, neural, and vascular injury. Aim and Objective: To find the functional Outcome of JESS fixation for proximal humerus fracture in 33 patients. Materials and Methods: 33 patients with proximal humerus fracture were treated by JESS fixator and their functional outcome was studied. Results and Conclusion: The mean Constant Murley Score preoperatively was 29.09 which raise to 60.39 at 4 weeks post operatively, 69.97 at 8 weeks post operatively and 79.64 at 12 weeks post-operative. Thus JESS fixator is an affordable, cost effective alternative treatment option for proximal humerus fracture with minimal complications.