| Autor: |
Biplab Chatterjee, Divyanshu Kumar, Sanjoy Mondal, Atanu Kayal, Bikram Chakraborty, Aviroop Chakraborty, Avishek Mallick, Abdul Jabbar Shaikh, Jishan Azad, Tonmoy Mahato, Tanmoy Saha |
| Rok vydání: |
2022 |
| Zdroj: |
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH. :15-21 |
| Popis: |
Background:- Proximal humerus fractures are common in the elderly population. Many of these fractures are associated with osteopenia and may be caused due to fragility fracture. Various operative methods are available for proximal humerus fractures. Open reduction and internal xation with PHILOS plate, conventional AO plate, proximal humerus nail, blade plate, Tension band wiring , and replacement surgeries are some of the options. In this study we aim to nd out the prognostic factors for operative intervention in proximal humerus fracture treated with PHILOS plate. Methods:- This is a prospective study in which the follow up of 15 cases with proximal humerus fracture treated with open reduction and internal xation with PHILOS plate was done. Clinical and radiological evaluation was done at 2 weeks, 4weeks, 6 weeks, 6 month and 1 year. Functional outcomes for pain, motion and muscle power, and function are assessed using the Constant and a Murley scoring system. Pain was scored on basis of VAS(Visual analogue scale). Various prognostic factors were studied which had an impact on the functional outcome after operation. Results:- Out of 15 patients 2 patients were lost to follow up after 3 months and 6 months. Age distribution of the patients show maximum number of the patient fell in the age group of 41-50 years(40%). Young age has a positive correlation to good outcome ( p=0.0047). 9 patients had intact calcar and 6 patients had disrupted calcar. Fracture with intact calcar had good outcomes whereas with disrupted calcar had poor outcome (p=0.015). Varus xation is not associated with outcome (p=1). Young age and intact medial ca Conclusion:- lcar support were related to good prognostic features whereas disrupted medial calcar was associated with bad prognostic feature for functional outcomes. Immediate varus xation was not associated with any change in functional outcome. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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