External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects
Fracture of the proximal humerus is a common and debilitating injury occurring mainly in elderly females and accounts for 4-5% of all adult fractures. Patients with displaced, unstable proximal humeral fractures may have improved outcomes if managed operatively. Objectives: To study the effect of us...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Journal of the Scientific Society |
| Subjects: | |
| Online Access: | http://www.jscisociety.com/article.asp?issn=0974-5009;year=2013;volume=40;issue=2;spage=99;epage=102;aulast=Ghosh |
| _version_ | 1819155136024412160 |
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| author | Soumya Ghosh Debasis Ghosh Soma Datta Arunima Chaudhuri Debasis Singha Roy Arnad Chowdhury |
| author_facet | Soumya Ghosh Debasis Ghosh Soma Datta Arunima Chaudhuri Debasis Singha Roy Arnad Chowdhury |
| author_sort | Soumya Ghosh |
| collection | DOAJ |
| description | Fracture of the proximal humerus is a common and debilitating injury occurring mainly in elderly females and accounts for 4-5% of all adult fractures. Patients with displaced, unstable proximal humeral fractures may have improved outcomes if managed operatively. Objectives: To study the effect of using Joshi′s external stabilizing system (JESS) for the management of fractures of proximal humerus in elderly. Materials and Methods: This prospective study was conducted in a tertiary care hospital in West Bengal on 28 subjects with proximal humerus fractures. As per Neer′s classification, 3- and 4-part fractures were included and prepared for JESS fixation. The results of the treatment were evaluated as per Neer′s criteria. Patients were followed up for 10 − 12 months. Results: Among 18 females and 10 males, 22 had 3-part fracture and 6 had 4-part fracture. Mean duration of JESS application was 10 weeks. Among patients with 3-part fractures 4 cases had excellent result, 12 had satisfactory result, 4 had unsatisfactory result and treatment failed in 2 cases. With 4-part fractures, 2 cases had unsatisfactory result and 4 cases were failures. Conclusion: JESS is an alternative option for the treatment of proximal humerus fractures, especially in elderly patients with osteoporosis, showing excellent to good results in cases of Neer′s type 3-part fracture. |
| first_indexed | 2024-12-22T15:32:10Z |
| format | Article |
| id | doaj.art-d9f9faeb6d1f4c38a40e3a259e02b9ba |
| institution | Directory Open Access Journal |
| issn | 0974-5009 |
| language | English |
| last_indexed | 2024-12-22T15:32:10Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Scientific Society |
| spelling | doaj.art-d9f9faeb6d1f4c38a40e3a259e02b9ba2022-12-21T18:21:22ZengWolters Kluwer Medknow PublicationsJournal of the Scientific Society0974-50092013-01-014029910210.4103/0974-5009.115490External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjectsSoumya GhoshDebasis GhoshSoma DattaArunima ChaudhuriDebasis Singha RoyArnad ChowdhuryFracture of the proximal humerus is a common and debilitating injury occurring mainly in elderly females and accounts for 4-5% of all adult fractures. Patients with displaced, unstable proximal humeral fractures may have improved outcomes if managed operatively. Objectives: To study the effect of using Joshi′s external stabilizing system (JESS) for the management of fractures of proximal humerus in elderly. Materials and Methods: This prospective study was conducted in a tertiary care hospital in West Bengal on 28 subjects with proximal humerus fractures. As per Neer′s classification, 3- and 4-part fractures were included and prepared for JESS fixation. The results of the treatment were evaluated as per Neer′s criteria. Patients were followed up for 10 − 12 months. Results: Among 18 females and 10 males, 22 had 3-part fracture and 6 had 4-part fracture. Mean duration of JESS application was 10 weeks. Among patients with 3-part fractures 4 cases had excellent result, 12 had satisfactory result, 4 had unsatisfactory result and treatment failed in 2 cases. With 4-part fractures, 2 cases had unsatisfactory result and 4 cases were failures. Conclusion: JESS is an alternative option for the treatment of proximal humerus fractures, especially in elderly patients with osteoporosis, showing excellent to good results in cases of Neer′s type 3-part fracture.http://www.jscisociety.com/article.asp?issn=0974-5009;year=2013;volume=40;issue=2;spage=99;epage=102;aulast=GhoshHumerus fractureManagementJESS |
| spellingShingle | Soumya Ghosh Debasis Ghosh Soma Datta Arunima Chaudhuri Debasis Singha Roy Arnad Chowdhury External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects Journal of the Scientific Society Humerus fracture Management JESS |
| title | External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| title_full | External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| title_fullStr | External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| title_full_unstemmed | External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| title_short | External fixation by Joshi′s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| title_sort | external fixation by joshi s external stabilizing system in cases of proximal humerus fractures in elderly subjects |
| topic | Humerus fracture Management JESS |
| url | http://www.jscisociety.com/article.asp?issn=0974-5009;year=2013;volume=40;issue=2;spage=99;epage=102;aulast=Ghosh |
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