A retrospective cohort study of non-operative versus operative treatment of proximal humerus fractures in elderly patients. | [Journal of Pakistan Orthopedic Association • 2022]

Author(s):

1. Akram Aliuddin: Fazaia Ruth Pfau Medical College PAF Base Faisal, Karachi, Pakistan.

2. Syed Danish Ali: Fazaia Ruth Pfau Medical College PAF Base Faisal, Karachi, Pakistan.

3. Ghazanfar Ali Shah: Shaheed Muhtarma Benazir Bhutto Trauma Centre Karachi, Pakistan.

4. Ahmed Ali: Baqai Medical University,Karachi, Pakistan.

5. Syed Kamran Ali Shah: Fazaia Ruth Pfau Medical College PAF Base Faisal, Karachi, Pakistan.

6. Kamran Qureshi: Baqai Medical University, Karachi, Pakistan.

7. Muhammad Aslam Siddiqui: Baqai Medical University, Karachi, Pakistan.

Abstract:

Objective: To determine the functional outcome of proximal Humerus fracture in elderly patients treated non operatively versus operatively. Methods: This retrospective Cohort study was conducted in Orthopaedic Department Fazaia Ruth Pfau Medical College PAF Base Faisal Karachi. The medical records of all patients of proximal Humerus fractures fulfilling the inclusion criteria and managed in time period extending from 23rd June 2018 to 25th May 2022 were reviewed. The included subjects were divided into group A(non-operative) and group B(open reduction and internal fixation with Proximal Humerus Internal Locking System).Comparison of functional outcome in both groups at 6th, 12th , and 18th months of follow up was done using American Shoulder and Elbow Score(ASES).P value was calculated using Chi-square test, student t-test and one way ANOVA test. P value 0.05). Radiological union was achieved in average 5±1.2 months in group A and 3±2.1 months in group B(p<0.05). Conclusion: Both non operative and operative treatments of proximal humerus fractures in elderly patients are equally effective in restoring shoulder function. However no significant difference in terms of functional outcome was noted between the two treatment modalities.

Page(s): 116-120

DOI: DOI not available

Published: Journal: Journal of Pakistan Orthopedic Association, Volume: 34, Issue: 3, Year: 2022

Keywords:

Proximal humerus fracture , Neer classification , PHILOS , ASES

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