The Clinical Status of Proximal Humeral Fractures and Treatment Management of Patients

Abstract

Background: Complications with surgical treatment of displaced proximal humeral fractures, particularly in comminuted or osteoporotic fractures, include malunion, non-union, osteonecrosis of the humeral head, screw loosening, and loss of reduction. There has been a push to recommend the use of a locking compression plate (LPHP) for open reduction and internal fixation of these fractures because to the decreased complication rate found with its usage. Objective: In this study our main goal is to evaluate the clinical status of proximal humeral fractures and treatment management of patients. Method: This prospective observational study was carried out at Department of Orthopaedic Surgery, Tetiary Medical College Hospital and District General Hospital, Dinajpur from January 2021 to January 2022. Total 55 patients were enrolled in the study. Five patients were lost to follow-up. So, finally50 patients were available for evaluation. Results: The participants' average age is 51.1, making those 51–60 years old 40% of the total. Also, 60% of the people involved were female. Seventy percent of patients had a locking proximal humeral plate inserted within three weeks of injury, whereas 30 percent had their plates inserted later than three weeks following injury. Yet although high velocity trauma accounted for 15% of injuries, low velocity traumas like falls accounted for 70%. Front shoulder scores between 910 and 1500 on the continuous scale were found in 12 patients (24%), 15 patients (30%), and 23 patients (46%). Subacromial impingement affected two patients (4%), delayed union affected three patients (6%), and a superficial infection affected nine patients (18%). The head screws on 3% of patients became loose, and the skulls of 1% of patients were perforated by the screws. Avascular necrosis did not manifest in any reported cases. Moreover, when the outcomes of the therapy were evaluated, 92% of patients reported satisfaction. Conclusion: Using a Locking Proximal .........