ABSTRACT
Introduction- Aim- Proximal humerus fractures represent one of the most common fracture type in upper extremity. this study aimed to see clinical and functional outcome of proximal humeral fracture fixation with Rushnail and K-wire fixator vs PHILOS plating. A prospective study was conducted over 6 months of a tot Material And Method- al of 30 patients with proximal humerus fracture. Patients were divided into two groups by randomized controlled trial .Group 1 included 15 patients who were treated with closed reduction and Rushnail with percutaneous k wire fixation. Group 2 included 15 patients who were treated with ORIF with PHILOS plate .All these 30 patients were followed up for mean duration of 6 months. Mean neer s Results- core at final follow up was 90 in group 1 patients while it was 80 in group 2 patients As per the Neers scoring system. Mean neer score at final follow up was 90 in group 1 patients while it was 82 in group 2 patients. As per the Neers scoring system; 8 patients (54%) in group1 had excellent results, 7 patients(46%) had satisfactory Results. For Group 2 ,as per Neers scoring system 6 patients (40%)had excellent results,7 patients (47%) had satisfactory results,2 patients (13%) had unsatisfactory result with poor outcome. In conclusion it was found that Rushnail wit Conclusion- h K- wires fixation for proximal humerus fractures type II and type III (Neer's) gives superior results than proximal humerus interlocking system (PHILOS).