Treatment options for proximal humerus fractures: A prospective study

Abstract

This prospective study was undertaken to assess type of treatment options for various proximal humerus fracture patterns and thereby select ideal time for rehabilitation. A specific type of fracture would need specific modality of treatment to get maximum benefit. Thirty six patients treated operatively and followed up. Average follow-up was 2.5 years. Patients were followed post-operatively at 2 weeks, 6 weeks, 10 weeks and then at 3-month intervals. Radiographs were assessed for fracture healing, changes in fracture alignment, and loose or broken hardware. The patients were functionally assessed with Neer’s point system. No fracture showed X-ray evidence of fracture malalignment. Out of 14 cases treated with cannulated cancellous screw 77% had good to excellent results. All 14 cases of plating had good to excellent results. Half (50%) cases treated with K-wires had poor results. Young patients had excellent end results as compared to old. In patients with early mobilization (with in 2 weeks) post operative results were good to excellent.