Background: Proximal fracture dislocation of humerus is infrequent with incidence of 1-2% of all proximal humeral fractures occur more common in the younger population with high activity and occur due to high energy trauma. Surgical fixation will give more favourable results. Material and Methods: The present study was done in department of orthopaedics and traumatology in Osmania general hospital Hyderabad as a prospective study. Total number of cases were 10 during July 2022 to July 2023 Age, gender, injury mechanism, associated injuries, interval between injury and surgery and the fracture pattern were considered variables. Fractures were classified according to NEER’s classification. Results: Among 10 patients 7 were males and 3were females. The average age of males was 42.69yrs and average age of females was 52.79 yrs. Males were associated with high energy road traffic accident and females were associated with fall. The mean interval between injury and surgery was 2.45+/- .13. functional outcome was measured through constant scoring system [15] with 6weeks 3months and 6months post operatively. 5patients had excellent outcome, 5 patients had good outcome, 4patients had fair outcome and 1patient had poor outcome. Strict and aggressive rehabilitation protocol was followed strictly. Conclusion: PHILOS plating system used for reduction most commonly. In fracture dislocation with NEERS classification type 3&4, surgical fixation gave good results. |