Koval KJ, Gallagher MA, Marsicano JG, Cuomo F, McShinawy A, Zuckerman JD. Operative repair of proximal humerus fractures in septuagenarians and octogenarians: does chronologic age matter?. Goch AM, Christiano A, Konda SR, Leucht P, Egol KA. Open reduction and internal fixation (ORIF) of complex 3- and 4-part fractures of the proximal humerus: does age really matter?. Factors that influence reduction loss in proximal humerus fracture surgery. Jung S-W, Shim S-B, Kim H-M, Lee J-H, Lim H-S. How bone quality may influence intraoperative and early postoperative problems after angular stable open reduction-internal fixation of proximal humeral fractures. Spross C, Zeledon R, Zdravkovic V, Jost B. Defining the relationship between rotator cuff injury and proximal humerus fractures. Gallo RA, Sciulli R, Daffner RH, Altman DT, Altman GT. Classifications in brief: the Neer classification for proximal humerus fractures. The outcome of proximal humeral fractures in the elderly: predictors of mortality and function. Treatment of proximal humerus fractures: relative position of different locking plates to the axillary nerve. Ninck J, Heck S, Gick S, Koebke J, Pennig D, Dargel J. Anatomic considerations for humeral fixation. Proximal humerus fractures with associated axillary artery injury. Thorsness R, English C, Gross J, Tyler W, Voloshin I, Gorczyca J. Interventions for treating proximal humeral fractures in adults. Salvage of upper extremities with humeral fracture and associated brachial artery injury. Paryavi E, Pensy RA, Higgins TF, Chia B, Eglseder WA. Factors associated with the decision for operative versus non-operative treatment of displaced proximal humerus fractures in the elderly. Okike K, Lee OC, Makanji H, Harris MB, Vrahas MS. Update in the epidemiology of proximal humeral fractures. Palvanen M, Kannus P, Niemi S, Parkkari J. Nondisplaced proximal humeral fractures: high incidence among outpatient-treated osteoporotic fractures and severe impact on upper extremity function and patient subjective health perception. 2006 37(8):691-7.Ĭalvo E, Morcillo D, Foruria AM, Redondo-Santamaría E, Osorio-Picorne F, Caeiro JR. Epidemiology of adult fractures: a review. Philadelphia: Saunders 2009:278-334.Ĭourt-Brown CM, Caesar B. Anatomical basics, variations, and degenerative changes of the shoulder joint and shoulder girdle. The three-dimensional geometry of the proximal humerus. Anatomy, biomechanics, and pathophysiology of instability of the glenohumeral joint. Kanatli U, Bölükbaşi S, Ekin A, Ozkan M, Simşek A. Two patients reported post-operative complication of shoulder stiffness, while one patient each reported plate impingement, varus maluion, infection and varus malunion with intraarticular screw cut-out.Ĭonclusions: Locking compression plates (PHILOS/PHLP) is an efficient treatment modality for proximal humerus fractures allowing early mobilization and good functional outcome. Results of current study revealed that majority of PHFs united by 8-10 weeks duration with 22.58% cases with excellent and 41.93%, 16.12% and 19.35% cases with good, moderate and poor constant and Murley score respectively. Three parts PHFs were observed to be more prevalent, followed by two and four parts fractures. Road accidents and domestic falls were observed to be the most common causes of PHFs in younger and elderly populations respectively. Results: PHFs were observed to be common in 41-60 years age group, with 65% males being affected. Surgical management of PHFs was done by open reduction and internal fixation using locking compression plates and functional outcomes and complications of the employed treatment modality were investigated. Methods: Current study is a descriptive investigation conducted on 31 PHFs patients admitted to baby memorial hospital, calicut, between January 2013 to June 2014. The aim of current study is to assess the functional outcome following open reduction and internal fixation of proximal humerus fractures using locking compression plates. Appropriate management strategy for PHFs is still uncertain. Incidences of PHFs increased in last few years due to life style changes and increased road accidents. Proximal humerus fractures, Open reduction, Internal fixation, Locking compression plates, PHILOS, PHLP Abstractīackground: Proximal humerus fractures (PHFs) are common upper extremity fractures representing break in humerus bone. Department of Orthopedics, Baby Memorial Hospital, Calicut, Keralaĭepartment of Orthopedics, MES Medical College, Perinthalmanna, Malappuram, Kerala
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