Clinical study of internal fixation of closed complex fractures of proximal humerus with single tine T plate
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: The management of complex proximal humerus fractures (Neer’s type III , IV and fracture dislocation) is complicated. There are various treatment modalities available for proximal humerus fractures. We have designed and indigenously manufactured new plate called “SINGLE TINE PROXIMAL HUMERAL T-PLATE (3.5 mm)” for fractures of proximal humerus .The aim of this study was to examine the clinical outcome of complex proximal humeral fractures treated surgically with single tine T-plate. Materials and Methods: This is retrospective observational study included 25 patients who underwent open reduction and internal fixation with single tine T plate for proximal humerus fractures in between 2010 and 2013. . All patients were evaluated using point system of Neer’s shoulder evaluation system. Results: Mean age of the patient 47.12 years (range 22-60 years). All the fractures united with a mean duration of 14 weeks (range 10 weeks to 18 weeks). As per Neer‟s score we achieved excellent or satisfactory results in 21 out of 25 i.e. 84%. The mean Neer‟s score was 85.2 (range 64-94). We had unsatisfactory to poor result in 4 out of 25 cases (16%). (Table 1) Complications were seen in 3 cases (12%). One case of superficial wound infection and two cases of screw loosening. Conclusion: Single tine T-plate is a good alternative implant for treating complex fracture and fracture dislocation of proximal humerus. It is cost effective, and easy to use. The single tine T-plate offers good support against varus mal-reduction. Primary bone grafting is a powerful tool in managing complex fractures/ fracture-dislocation of proximal humerus.
Authors and Affiliations
Dr. Sharad Hardikar, Dr. Shrinivas Prakash, Dr. Madan Hardikar, Dr. Saurabh Pagdal
Keywords
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- EP ID EP501649
- DOI 10.22271/ortho.2017.v3.i3o.159
- Views 124
- Downloads 0
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