To study of functional outcome and complications of proximal humerus fracture dislocation managed with reduction internal fixation with various methods

Abstract

Background: Fracture-dislocation of the humerus refers to the fracture of the proximal part of humerus associated with dislocation of the head from the humero-glenoid joint. It is occurs most commonly in elderly due direct low velocity trauma, while in younger age group, high-velocity trauma is needed. 1 Management of fracture dislocation of proximal humerus needs early reduction and fixation. In or prospective study we have observed the functional outcome and complications of management of displaced proximal humerus fragments with various methods.; Methods: A two-year prospective study was conducted after getting ethical approval at tertiary care centre on cases admitted with proximal humerus fracture dislocation as per the inclusion criteria based on Neer's classification evaluation was done after investigations like xray CT scan and surgery was performed. Postoperative follow-up was done at 1st, 6 th month and 1 year and outcome were evaluated for each case based on Neer's shoulder score of constant score. Results: 30 cases were studied which were operated according to neers classification by various methods. Mean age was 42.6 years. Constant Shoulder score was good in maximum patients (46.67%) followed by excellent in 33.67%, three patients (10%) had fair score while it was poor in 2 patients (6.66%). Conclusions: Proximal humerus fracture dislocation can be managed with various methods of treatment. Each method has its own advantage and disadvantages.