Abstract
We present a case series study of 50 patients who sustained two, three and four part displaced proximal humerus fractures treated by open reduction and suture fixation. All patients presenting to our department with these fractures were included in the study except for those with undisplaced fractures, head splitting fractures, isolated greater tuberosity fractures and those aged over 60 years of age with a four part fracture. Patients were followed up for an average of 13 months from surgery. They were assessed clinically and radiologically. Clinical assessment consisted of Constant scoring, abduction measurement and patient satisfaction.The average Constant score at last follow-up was 80. Overall patient satisfaction was high. Radiological union was achieved on average in less than 3 months.We conclude that suture fixation for this group of fractures is a highly effective treatment option.
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