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The field of orthopedic surgery has been in the vanguard in creating new information, establishing new principles of treatment and solving both new and old problems of musculoskeletal system. Fractures of proximal humerus are still unsolved fractures in many ways. The indication for surgical management continues to be modified. Fixation techniques are myriad and none is ideal for all cases. Materials and Methods: Total of 34 cases of two parts, three parts and four parts fractures of proximal humerus were admitted included in the study after fulfilling inclusion and exclusion criteria. Detailed clinical history, local and neurological examination was done. Results: Out of 34 patients who were included in this study 16 were treated conservatively and 18 surgically by open reduction internal fixation with locking compression plate. The two treatment groups were comparable with regard to age, gender and type of fracture. In surgical group two 2 part fractures had moderate constant score and two good, six 3 part fracture had good constant score and three poor constant score while two 4 part fracture had poor constant score and three good. In the conservative group two 2 part fracture had moderate constant score and one good, in 3 parts one had poor, four moderate and four good constant scores, in 4 parts all had poor constant scores. Conclusion: This study explains that a locking plate for the treatment of proximal humerus fractures uniformly leads to a satisfactory functional outcome over long term follow up in most of the patients. Although the results are poorer in old aged individuals with osteoporosis, they are nevertheless better than those achieved with non locking plates.

international journal of orthopaedics sciences

Functional outcome of displaced proximal humerus fractures treated conservatively versus open reduction internal fixation with locking compression plate