Evaluation of Functional Outcome of Surgical Management of Proximal Humerus Fracture by Various Modalities: A Prospective Study

Background: Approximately 5.7% of all fractures are proximal humerus fractures, which are also the most prevalent type (80%). Proximal humeral fractures (PHFs), which tend to be related to systemic osteoporosis, are also the third most frequent fracture in elderly people. It is anticipated that throughout the next three decades, their occurrence will increase. Assessing and contrasting the functional results of various fixation techniques for proximal humerus shaft fractures is the aim of the study. Methods: The present prospective study was carried out from March 2022 to February 2023 at the Department of Orthopaedics, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, on patients who were admitted with proximal humerus fractures in accordance with Neer’s classification inclusion criteria. Both surgery and radiological examination were completed. At the first, fourth, eighth, and fourteenth weeks following surgery, postoperative follow-up was conducted, and each case’s results were assessed using Neer’s shoulder score. Results: There were 60 cases total, with an average age of 48.2 years. A common cause of fractures was traffic-related injuries. Eight of the 60 cases had satisfactory results, four were unsatisfactory, two had a failure, and 46 had excellent results. The mean scores on Neer’s score were as follows: range of motion (16.55 units), function (23.5 units), pain (33.5 units), and anatomy (6.9 units). Conclusion: A realistic approach and surgical care of complicated humerus fractures depend on clinical evaluation, adequate radiographic images, patient age, and activity. A successful operation and a positive functional outcome depend on carefully choosing the patient and having a solid understanding of anatomy and biomechanical concepts.