Abstract

Four to five percent of fractures are proximal humerus fractures, which also account for forty-five percent of humeral fractures. This study aims to assess and analyze the functional outcomes of proximal humerus fractures that were managed using internal fixation. Material and Methods: The present investigation was carried out in the Department of Orthopaedics, Andhra Medical College, Vishakhapatnam, Andhra Pradesh, India. This study is a prospective investigation conducted between January 2021 to December 2022, using a sample size of 20 cases. In this study, proper informed permission was gained from every patient involved, ensuring that they were fully aware of the nature and purpose of the research and voluntarily agreed to participate. Results: The management of complicated humeral fractures with three or four parts poses a significant clinical difficulty. In order to achieve optimal outcomes, it is imperative for the surgeon to attain precise anatomical alignment and secure fixation, while simultaneously minimizing the potential risk of avascular necrosis of the Humeral head through diligent protection of the surrounding soft tissues. The existing body of literature widely agrees that achieving a favorable functional outcome in shoulder fractures is contingent upon two key factors: anatomical reduction of the fracture and a stable fixation, regardless of the specific surgery and implant employed. Additionally, the prompt commencement of functional rehabilitation plays a crucial role in achieving this desired outcome. Conclusion: The role of the learning curve associated with the chosen implants is undoubtedly significant. The implementation of a proficient surgical approach is crucial in order to mitigate problems, while a rigorous rehabilitation regimen is essential to optimize the outcome. Typically, fractures that involve two or three parts can be managed through the utilization of open reduction and internal fixation techniques.

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