Abstract
Background Proximal humeral fracture in patients more than 65 years old, represent the third most common fracture. Treatment of proximal humerus fractures, especially displaced fractures, remains controversial. Conservative treatment has been preferred
for most of the undisplaced or minimally displaced fractures. Over the years, availability of improved fixation devices, popularised the treatment of these fractures by open reduction and internal fixation. Operative treatment of proximal humerus fractures poses a challenge because of complications like malunion, non-union and avascular necrosis.
Objective To study the role of conservative treatment and operative treatment by locking compression plate in the management of these fractures. To compare the results of conservative management versus locking plate osteosynthesis. To evaluate the results of treatment in terms of clinical and radiological union as well as functional outcome.
Materials and Methods In the present case study, we report our experience in 60 cases in whom comparative study of management of proximal humerus fractures in elderly by conservative method versus operative locking compression plate was done.
Results As measured by Neer’s shoulder score, out of the 60 cases in our study, 8 (13.33%) had excellent functional outcome out of which 3 were treated conservatively and 5 were treated operatively, 29 (48.33%) had satisfactory outcome out of which 14 were treated conservatively and 15 were treated operatively, 19 (31.67%) had unsatisfactory outcome out of which 10 were treated conservatively and 9 were treated operatively, and 4 (6.67%) cases were failures out of which 3 were treated conservatively and 1 were treated operatively
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References
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