A comparative study of functional outcomes of fractures treated with plating versus conservative for complex proximal humerus fractures in elderly

Abstract

Introduction: Most proximal humerus fractures are minimally displaced, low energy osteoporotic fractures and are effectively treated with conservative treatment. But for those that have moderate to severe displacement, the optimal treatment for the patient has not been fully elucidated. Aims and Objectives: To compare and evaluate functional outcome of complex proximal humerus fractures treated with plating and conservative method in elderly. Materials and methods: A prospective, comparative study was conducted with 50 patients to compare and evaluate functional outcome of complex proximal humerus fractures treated with plating and conservative method in elderly. Results: The mean flexion, abduction, external rotation and internal rotation values of conservative group were significantly lesser as compared to operative group after 6 weeks. However there was no significant difference between the groups after 6 months Conclusion: Locking plate is an implant of choice for comminuted proximal humerus fractures.In the present study, the outcomes of locked plate fixation were similar to those of nonoperative treatment. Early physiotherapy and good rehabilitation programme is vital to get a good functional outcome.