1Firat University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Elazig, Turkey
2Usak University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Usak, Turkey
3Inonu University TOTM, Faculty of Medicine, Department of Orthopaedics and Traumatology, Malatya, Turkey
4Bitlis State Hospital, Department of Orthopaedics and Traumatology, Bitlis, Turkey
Aim: The aim of this study was to evaluate the clinical, radiological and functional results of patients treated with different methods in our clinic for proximal humerus fracture.
Material and Methods: A total of 106 patients with a diagnosis of proximal humerus fracture, who were scheduled for treatment, received management and followed up periodically after discharge were included. Patient files, X-RAY radiographs in the PACS system, surgical notes and outpatient epicrisis were used. Functional results were evaluated according to Constant shoulder score at the last visit.
Results: The mean age of the patients was 53.6 years (17-94). The mean follow-up period was 11.3 months (6-40 months). 55 (51.9%) had Type II, 35 (33%) had Type III and 16 (15.1%) had Type IV proximal end humeral fractures. As a result of the evaluation performed at the last follow-up of the patients, Constant-Murley’s total score was 64.50 out of 100 (31-88). Score distribution according to Neer classification of patients; A Constant-Murley score median with a Neer Type II fracture was 74.00 (36-88), a Constant-Murley Score median with a Neer Type III fracture was 61.00 (31-78), and a Constant-Murley score median with a Neer Type IV fracture was 44.50 (33-70).
Conclusion: When the fracture type and functional outcome of the patients were compared, functional outcome decreased as the fracture type increased. Young patients had better functional results than older patients.
Keywords: Proximal fracture of the humerus; neer classification; constant-murley score; functional results