ABSTRACT
Background: The treatment of proximal humerus fractures is always a challenge for the Orthopedic surgeon. Proximal humeral fractures are a regular presence in clinics. In the past, the standard treatment method was conserva?ve. The results and func?onal outcomes, on the other hand, were not favorable. The func?onal outcomes have been known to improve a?er the development of locking compression plates. The purpose of this study was to see how func?onal proximal humerus fractures were treated with locking compression plates fared. Methods: This cross-sec?onal interven?onal prospec?ve study was carried out in the Department of Orthopedics, Prathima Ins?tute of Medical Sciences. The study included all adult pa?ents with closed two-part and three-part proximal humerus fractures who were reported within a week a?er the incident. Based on the sample size calcula?ons and inclusion and exclusion criteria a total of n=35 pa?ents were included in the study. Pa?ents were followed up for 12months a?er surgery using a typical surgical method with a locking compression plate. Results: n=35 pa?ents out of which n=19(54.2%) were males and n=16 (45.7%) were females. The distribu?on based on age involved in pa?ents with fractures showed equal preponderance among 31-35 years and 20-25 years with n=9(25.71%).Neer’s classifica?on of fractures of proximal humerus was followed in this study. Most of the pa?ents in n=25 (71.42%) cases were having Neer’s Two-part fractures and three-part fractures were found in n=8(22.8%) and four-part in n=2(5.7%). The overall results in the study were 65.71% of pa?ents had excellent results,20% had good results,8.5% had sa?sfactory results and 5.7% had poor results. Conclusion: Locking plates are a preferable therapeu?c choice for proximal humerus fractures, par?cularly when the bone quality is poor and the fracture is comminuted. Complica?on rates can be reduced by using good surgical techniques and selec?ng the right situa?ons. Proximal humeral internal locking plates con?nue to provide strong overall func?onality.