OUR EXPERIENCE ON PROXIMAL HUMERUS FRACTURES TREATMENT
This study presents treatment results of 77 patients with proximal humerus fractures who were admitted to Saratov Research Institute of Traumatology and Orthopedics from 2011 to 2015. We used angle stable screw bone plates to fasten humerus fragments. The distribution of patients by the proximal humerus fracture type according to C.S. Neer classification was as follows: two-fragmentary – 37 (47.6 %), three-fragmentary – 26 (33.4 %), four-fragmentary – 7 (9.5 %) and dislocation-fractures of humerus ball – 7 (9.5 %). Treatment results analysis showed that angle stable screw bone plates (72 clinical cases) had predominantly provided stable fixation necessary for fracture unions and early functional rehabilitation of the injured extremity. The most productive anatomic and physiological results were obtained from the patients with two- and three-fragmentary fractures who had their operation within the period of 3 to 10 days post-injury. These patients showed 86-98 % OEM quantitative outcomes 6-12 months postsurgically.