Radiological correlation to the functional outcome in 3 and 4 part proximal humerus fracture managed with indirect reduction & fixation with plate and screws
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:95
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Dheenadhayalan J, Agraharam D
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Purpose: To evaluate the surgical reduction accuracy based on radiological parameters to the functional outcome.
Methods: 127 patients with mean age of 53.8 yrs having displaced three (66) and four (61) part fractures, underwent fixation with plate and screws with minimum follow up of two years were analyzed. Surgical technique involved Indirect reduction and Plate fixation. Ninety three patients had PHILOS (AO) plate and 34 patients had T Buttress plate fixation. Radiological parameters studied were Head shaft angle, offset and the distance of greater tuberosity to articular margin. The functional outcome evaluated by DASH and Constant Score.
Results: All patients had union in 14 weeks without infection. Varus collapse seen in 14 patients. Asymptomatic avascular necrosis seen in 1 patient. Average neck shaft angle was 39.6 (18.8 to 64.8), Lateral offset of 57.6mm (43.32 to 77.55mm) and the distance of greater tuberosity to articular margin was 8mm (2 to 23.5mm). All these indicated good alignment. However 61% patients had abduction above 90 degrees. With DASH scores avg 7.8( 0 – 44.2) and Constant score 55( 27 – 55) had good to excellent outcome.
Conclusion: Surgical technique to get near normal radiological outcome gives good to excellent functional results. Only 61% had abduction above 90 deg which indicates the need for assessing the integrity of rotator cuff.
|How to Cite this Abstract|
|Dheenadhayalan J, Agraharam D . Radiological correlation to the functional outcome in 3 and 4 part proximal humerus fracture managed with indirect reduction & fixation with plate and screws . International Journal of Conference Proceedings 2015;(2015):96|