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September 12, 2025Shoulder & ElbowOpen Access

Functional outcomes and complications after locked plating of fracture-dislocations of the proximal humerus and the significance of the intertuberosity periosteal bridge

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Authors

DSDipit SahuACAditya ChaubeyDSDarshil Shah

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Overview

Evaluation shows acceptable functional outcomes in patients with proximal humerus fractures, but AVN complicates recovery.

Key Points

  • Functional outcomes after locked plating are generally acceptable, but complications like avascular necrosis were observed in 23% of cases.
  • At follow-up, the normalized Constant score averaged 70, indicating moderate overall function in the studied population.
  • Analysis identified significant associations between AVN and factors like absent capsular attachments and a four-part fracture configuration.
  • The study highlights the need for careful monitoring of potential complications, particularly in patients with complex fracture patterns.

Cite This Study

Sahu et al. (2025) studied this question.

synapsesocial.com/papers/68d44f7331b076d99fa56b0dhttps://doi.org/10.1177/17585732251375394
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Impact of Reduction on Survivorship and Outcomes Following Locked Plate Fixation of Proximal Humerus Fractures2025 · 1 citations
  2. 2Functional Outcome of Surgical Management of Three-part and Four-part Proximal Humerus Fractures Using PHILOS Plate: A Prospective Study2025
  3. 3Outcome Analysis of Locking Plate Fixation in Proximal Humerus Fractures2017
  4. 4Outcome of proximal humerus fractures treated surgically by locking plate- a retrospective case-series study2024
  5. 5Clinical and Functional Outcomes of Proximal Humerus Internal Locking System Plate Fixation in Proximal Humerus Fractures: A Short-term Follow-up2025