Evaluation of Clinical and Radiological Outcome of Fracture Proximal Humerus by Locking Compression Plate Taking into Consideration of Biomechanics of the Glenohumeral Joint

Proximal humerus fractures account for approximately 4 – 5% of the all fractures [1,2,3]. The incidence of fracture is more common in the elderly because of decreased bone density. But it can occur in younger age group following high velocity trauma [3]. Because of increasing incidence of high velocity trauma, the fracture patterns in proximal humerus are becoming complicated. It has been always enigma of management because of numerous muscles attachment and paucity of space for fixing implant in fractures of proximal humerus. While for undisplaced fractures, literature strongly suggests nonoperative treatment [4,5,6] the treatment of displaced fractures is still controversial and challenging. The various methods to treat fractures of the prox imal humerus are percutaneous cerclage wiring, k-wire fixation, tension band wiring, intramedullary nailing, plating, and humeral head replacement. Of these methods, recent clinical data have shown favorable results for the treatment of fractures with locking plates. Important for a successful stabilization of the fracture are in the order of anatomic reduction, medial cortical support, proximal humeral bone density, and patient age[7]. Department Of Orthopaedics, M L N Medical College Allahabad.