SOME CLINICAL CHARACTERISTICS OF ADULT PATIENTS TREATED BY OSTEOSYNTHESIS METHOD FOR THE PROXIMAL HUMERUS FRACTURE

Abstract

Objectives: To describe some clinical characteristics of adult patients with closed proximal humerus fracture (PHF), treated by osteosynthesis method with locking plate. Subjects and methods: Adult patients who were closed PHF treated by open reduction and locking plate fixation at Military hospital 175. Report of a retrospective study conducted on 42 clinical cases. Results: The average age for both gender was 51.38 ± 14.63, the age group over 60 accounted for 26.19%. The ratio of female/male patients was 1.1/1, the difference was not statistically significant (p>0.05). The cause of injury due to traffic accidents (TA) accounted for the highest rate at 73.81%, due to daily life accidents (DLA) accounted for 21.43%, and due to work accidents (WA) accounted for 4.76%. Anatomical damage of PHF according to the classification of author Neer C.S. on X-ray, including groups III, IV, V, VI, 3-part fractures accounted for the highest proportion with 54.76%. Conclusion: The patients in the study group were mostly middle-aged from 18 to 60 years old. The main cause of TA was the age group from 18 to 60, which was the group with a large traffic demand (accounting for 80.64%), the majority of injuries had 3-4 broken parts (accounting for 61.29%), due to DLA, mainly in the group of people over 60 years old (accounting for 55.56%) with 3-4 broken parts accounting for 66.67%.