Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study
Background: Proximal humerus fractures are typically minimally displaced and often result from low-energy trauma, particularly in elderly individuals with osteoporosis. In such cases, conservative or non-surgical treatments are generally effective. However, the optimal treatment approach remains an...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | MGM Journal of Medical Sciences |
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| Online Access: | https://doi.org/10.4103/mgmj.mgmj_238_23 |
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| author | Sunil H. Shetty Shikhar D. Singh Sarang Agrawal Sameer S. A. Shaikh Nrupam Mehta Joydeep Kumar Dey Abhilash Srivastava |
| author_facet | Sunil H. Shetty Shikhar D. Singh Sarang Agrawal Sameer S. A. Shaikh Nrupam Mehta Joydeep Kumar Dey Abhilash Srivastava |
| author_sort | Sunil H. Shetty |
| collection | DOAJ |
| description | Background: Proximal humerus fractures are typically minimally displaced and often result from low-energy trauma, particularly in elderly individuals with osteoporosis. In such cases, conservative or non-surgical treatments are generally effective. However, the optimal treatment approach remains an active research and debate area for fractures with moderate to severe displacement. Aims and Objectives: This study aims to conduct a comprehensive comparative analysis, focusing on evaluating and distinguishing the functional outcomes in elderly patients with complex proximal humerus fractures. Materials and Methods: A prospective, comparative study was conducted involving 60 elderly patients. The primary goal was to assess and compare the functional outcomes of complex proximal humerus fractures treated surgically using plating versus conservative treatment methods. Results: At the 8-week follow-up, patients in the non-surgical group demonstrated significantly lower average values for flexion, abduction, external rotation, and internal rotation than the surgical group. However, by the 6-month mark, no significant differences were observed between the two groups. Conclusion: The locking plate is a preferred implant for comminuted proximal humerus fractures. In this study, outcomes from locked plate fixation were comparable to those of non-operative treatments. Early initiation of physiotherapy and a robust rehabilitation program are crucial for achieving optimal functional recovery. |
| format | Article |
| id | doaj-art-8f0777d1e10f45718b5cba60944cdb55 |
| institution | Kabale University |
| issn | 2347-7946 2347-7962 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MGM Journal of Medical Sciences |
| spelling | doaj-art-8f0777d1e10f45718b5cba60944cdb552025-01-17T10:55:33ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111469570010.4103/mgmj.mgmj_238_23Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative studySunil H. ShettyShikhar D. SinghSarang AgrawalSameer S. A. ShaikhNrupam MehtaJoydeep Kumar DeyAbhilash SrivastavaBackground: Proximal humerus fractures are typically minimally displaced and often result from low-energy trauma, particularly in elderly individuals with osteoporosis. In such cases, conservative or non-surgical treatments are generally effective. However, the optimal treatment approach remains an active research and debate area for fractures with moderate to severe displacement. Aims and Objectives: This study aims to conduct a comprehensive comparative analysis, focusing on evaluating and distinguishing the functional outcomes in elderly patients with complex proximal humerus fractures. Materials and Methods: A prospective, comparative study was conducted involving 60 elderly patients. The primary goal was to assess and compare the functional outcomes of complex proximal humerus fractures treated surgically using plating versus conservative treatment methods. Results: At the 8-week follow-up, patients in the non-surgical group demonstrated significantly lower average values for flexion, abduction, external rotation, and internal rotation than the surgical group. However, by the 6-month mark, no significant differences were observed between the two groups. Conclusion: The locking plate is a preferred implant for comminuted proximal humerus fractures. In this study, outcomes from locked plate fixation were comparable to those of non-operative treatments. Early initiation of physiotherapy and a robust rehabilitation program are crucial for achieving optimal functional recovery.https://doi.org/10.4103/mgmj.mgmj_238_23conservativelocking plateosteoporosisproximal humerus fracture |
| spellingShingle | Sunil H. Shetty Shikhar D. Singh Sarang Agrawal Sameer S. A. Shaikh Nrupam Mehta Joydeep Kumar Dey Abhilash Srivastava Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study MGM Journal of Medical Sciences conservative locking plate osteoporosis proximal humerus fracture |
| title | Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study |
| title_full | Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study |
| title_fullStr | Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study |
| title_full_unstemmed | Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study |
| title_short | Treatment approaches for elderly patients with complex proximal humerus fractures: A comparative study |
| title_sort | treatment approaches for elderly patients with complex proximal humerus fractures a comparative study |
| topic | conservative locking plate osteoporosis proximal humerus fracture |
| url | https://doi.org/10.4103/mgmj.mgmj_238_23 |
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