T. Bhavani Prasad1, B. Sasi Bhushan Reddy2, B. Vennela3, Santhosh Ram4, Sandeep Nalla5
Treatment of proximal humerus has been subject of much controversy and confusion with diversity of opinion regarding the care of fractures of proximal end of humerus. The aim of this study was to review the outcome, results and complications of the operative procedure in a series of thirty patients. INTRODUCTION: Proximal humerus fractures are one of the commonest fractures occurring in the skeleton. They account for approximately 4-5% of the fracture attendance at the hospital.1,2 They occur more commonly in elderly patients, after cancellous bone of the humeral neck has weakened by senility but these fracture are seen in patients of all ages & merge with epiphyseal separations. The most serious fractures and fracture dislocations are often seen in active, middle aged patients. These fractures can be extremely disabling and their management often demands experienced surgical skills and judgment.2 Because of increasing incidence of high velocity trauma, complicated fracture pattern in proximal humerus are becoming increasingly common. It has been always engima of management because of numerous muscles attachment and paucity of space for fixing implant in fracture of proximal humerus. Voluminous literature is available on this topic and treatment pattern differs very much. The preferred treatment varies depend on the patient’s age and bone quality, the expertise, surgical team and the patients expectations. Although a number of reports have described the outcome of treatment of proximal humeral fractures, comparison of these fractures is hampered by inconsistence in fracture classification, treatment and evaluation method.
