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Scholars Journal of Applied Medical Sciences | Volume-9 | Issue-04
Incidence and Clinical Pattern of Proximal Humeral Fractures of Patients Fixed by Locking Proximal Humeral Plate (LPHP)
Dr. A. K. M. Harun-Ar-Rashid, Dr. Abdur Rahman, Dr. Mohammad Shaha Alam, Dr. Ayesha Begum, Dr. A. H. M. Azgar Ali Chowdhury, Dr. A.T. M. Rezaul Karim
Published: April 24, 2021 | 150 97
DOI: 10.36347/sjams.2021.v09i04.022
Pages: 597-600
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Abstract
Objective: In this study our main goal is to evaluate the functional outcome of the treatment of proximal humeral fractures fixed by Locking Proximal Humeral Plate (LPHP). Method: This prospective observational study was carried out at Department of Orthopaedic Surgery, Chittagong Medical College Hospital, Chittagong. All the 30 patients are above 18 years of age and was admitted in different units of Orthopaedic ward of CMCH with displaced fractures of the proximal humerus of both sexes. Results: During the study, of the 30 patients, 16 (53.33%) presented with right sided proximal humeral fracture and 14(46.66%) with left sided fractures. Also, of the 30 patients, 11(36.66%) 2 part, 13(43.33%) presented with three-part fractures. 1(3.33%) with four-part fractures and 5(16.66%) with fracture dislocations. According to Constant score criteria 20(66.7%) patients can externally rotate their shoulder with hand above head and elbow forward, 6(20%) patients can do it with hand behind head and elbow backward, 2(6.7%) each can do it either with hand behind head and elbow forward or hand above head and elbow backward. Conclusion: From our study we can conclude that, the results show that in proximal humeral fractures treated by open reduction and internal fixation with locking proximal humeral plate (LPHP) is the good method of treatment in the absence of C-arm image intensifier.