EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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Abstract

THE OUTCOME OF THE TREATMENT OF PROXIMAL HUMERAL FRACTURES 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 and Dr. A.T. M. Rezaul Karim

ABSTRACT

Objective: In this study our main aim is to assess the 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, 80 percent cases locking proximal humeral plate was fixed within 3 weeks of occurrence of fracture while in the rest (20%) of cases, fixation was done after 3 weeks of the fracture. The mean interval between injury and plate fixation was 18 days and the minimum and maximum intervals were 2 and 36 days respectively. Vast majority (76.66 %) of injury were caused by low velocity injury i,e; due to simple fall and 7(23.33%) was of high velocity trauma i ,e ; road traffic accident and fall from height. During the course of the study 8(26.66%) patients developed superficial infection, 2(6.7%) patients developed delayed union, 4(13.3%) patients subacromial impringement. loosening of head screw, perforation of the head by screw was seen in 1(6.7%) patients each. The outcome of the patients was graded according to constant score criteria as good (>70) in 14(46.6%) patients, Fair (56-70) in 11 (36.66%) patients and poor (0-55) in 5(16.66%). Conclusion: Locking Proximal Humeral Plate (LPHP) in the treatment of unstable proximal humeral fracture minimizes the hospital stay and reduces the economic burden and enhances early return to work. So, it is an excellent method of proximal humeral fracture fixation in a developing country like Bangladesh.

Keywords: Proximal humeral fractures, locking proximal humeral plate (LPHP), plate fixation.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia