Efficacy of Hemiarthroplasty for Humeral Four-Part Fractures in Elderly

Abstract

Background: There are four anatomic parts of the proximal humerus namely, head, greater tuberosity, lesser tuberosity, and surgical neck. 140 ͦ is the approx angle that is formed by the neck-shaft of the humeral. With prevalence rate of 5-6% among the elderly its incidence increase with the advancement in the age. There are various factors affecting this advancement of the elderly patients towards the proximal humerus including increasing age, osteoporosis, age, sex and other similar factors.
 Aim: To study the efficacy of Hemiarthroplasty for Humeral Four-part Fractures in Elderly Patients
 Methods: It was an observational study. 30 patients were taken up for the study, who were diagnosed with humeral fracture. All the patients were included in the study after getting written consent from them. Radiography was done for all the patients from an AP view, a lateral shoulder view in the scapular plane, and of the axilla according to the Neer’s classification.
 Results: The above table shows that the number of patients was 10 and that of the female patients was 20. The mean age for the patients was 75.45±10.69 years. The VAS score before treatment was found to be ranged from 50-90 and the VAS score after treatment was found to be ranged from 75-95. The above table shows that the VAS pain was 20 in 3 months follow up time that increased to 25 in 1 year follow up time. The VAS disability score within 3 months follow up was 53 that reduced to 47 in 1 year follow-up period. The CMS activity score was in 3 months follow-up was 10.5 and that in 1 year follow up was 15. The CMS mobility after 3 months follow-up was 13 that increased to 22 in 1 year follow-up period.
 Conclusion: In the light of above results and discussion it is evident that the Hemiarthroplasty is a more viable option for reducing pain and increasing mobility in elderly patients suffering from four-part humeral fracture as compared to any other operative technique.