Outcome of open reduction and internal fixation using plate versus closed reduction and percutaneous fixation using K-wires for treatment of two part proximal humerus fracture

Aim: to compare the outcome of open reduction and internal fixation (orif) using plate and closed reduction (cr) and percutaneous fixation using k-wires for treatment of proximal humeral fractures. study design: randomized controlled trial duration & place of study: department of orthopaedics,pak red crescent medical college & hospital,dina nath,kasur presented over a period of twelve months from 01-04-2013 to 31-03-2014. methods: one hundred and fifty three patients presented with proximal humeral fractures. patients having low energy closed proximal humerus displaced two part fractures were included. those patients who have pathological fracture or a previous fracture of the same proximal humerus,major nerve injury,located fracture of the major or minor and closed reduction falls were excluded from the study. results: range of motion (flexion) and (abduction) in terms of post surgery was 108.25±6.71 in cr with k-wire and orif it was 510.25±11.69 with a p value of 0.001 which is significant. conclusion: proximal humerus locking plate gives stable fixation with minimal implant problems and enabled early range-of motion exercises to achieve acceptable functional results for 2-part fractures compared with k-wire fixation.