DOI: 10.36347/gamj.2024.v05i03.002

Pages: 51-56

Fractures of the upper end of the humerus are common, they represent approximately 5% of all fractures, and their frequency of occurrence increases to more than 10% above the age of 65 where they are the third causes of fractures. osteoporosis of the limbs after fractures of the upper extremity of the femur and the wrist. Fractures of the upper end of the humerus pose a therapeutic problem, particularly for complex fractures with 3 and 4 fragments. The aim of our work is to determine the epidemiological -clinical aspect of complex fractures of the upper end of the humerus in adults and to assess the functional and radiological results of our series. This is a series of 25 cases collected in the orthopedics department of the Mohamed V military training hospital (HMIMV) between 2016 and 2021. We identified the epidemiological data of the patients and the circumstances of the trauma. The treatment was surgical in principle, either osteosynthesis using a plate or nail or prosthetic replacement. The reduction was evaluated on postoperative radiographs. At follow-up, the functional results were evaluated by the Constant score. Our series includes 12 men and 13 women. The average age of our patients was 55 years, public road accidents were noted in 48%, 4-part fractures were found in 76% of cases. Screwed plate osteosynthesis was used in 40% of cases and antegrade nailing was performed in 40% of cases. The prosthesis was placed for 5 patients. The average constant score was 65.24 with extremes ranging from 35 to 88. We noted consolidation of fractures without malunion in 68%. In complex fractures of the upper end of the humerus, osteosynthesis well indicated according to the patient and the fracture and early postoperative rehabilitation allow acceptable functional results.