Evaluation and Complication of Proximal Humerus Fracture with Plate Osteosynthesis: A Prospective Study

Background: Approximately 4 to 5% of all fractures are proximal humerus fractures. After hip and distal radius fractures, these are the third most frequent fractures in the senior population. In the case of proximal humerus fractures, there are still disagreements over whether conservative or surgical management is preferable. Numerous surgical procedures are performed. Locking plates are the next big thing in internal fixation. The purpose of this study is to assess the functional result and complications of open reduction treatment for proximal humerus fractures. Internal fixation using proximal humerus Interlocking plate. Methods: This prospective study was conducted in Department of Orthopaedics, SKMCH, Muzaffarpur, and Bihar from March 2024 to August 2024. Total 30 patients involving who were above18 yrs of age with proximal humerus fractures treated by open reduction, and internal fixation with locking plate were evaluated. Results: The majority of the patients in this study were elderly males, and the most common mode of injury was a slip and fall. The patients suffered two-part and three-part fractures of the proximal humerus, which united in an average of 14 weeks, with 28 cases (93.3%) having excellent and satisfactory results according to Neer’s criteria. Conclusion: As long as the patient followed a physiotherapy regimen and the parts underwent nearly normal anatomical reduction, the open reduction internal fixation of proximal third humeral fractures using PHILOS plating resulted in excellent to satisfactory outcomes and patient satisfaction.