Abstract

Background: Proximal humerus fracture (PHF) contributes 4% to 5 % of fracture which are bimodal in distribution. Treatment varies from conservative to replacement and every modality having its pros and cons. Aetiologically accidental fall in elderly population due to insufficiency and RTA contributes more to younger population. Though the treatment is in wide spectrum, outcome depends upon many factors like Age, Anatomy of fracture, communition, associated pathological conditions, mode of treatment. In this study we justify how JESS method over scores the other methods of fixation... Material and Methods: 42 patients (24 females and 18 males) age between 19 to 88 done between 2019 to 2022. Fracture is being classified by Neers classification. All surgeries were done under regional block. All patients were followed up regularly and assessed functionally and radiologically. Results: Total number of cases were 42 and above 45yrs were 29, less than 45yrs were 13. Out of total cases 24 cases were RTA. Neers Type II -13, Type III -16, Type IV -11, head split-2. Outcome was assessed by constant score. 2 cases went for nonunion and 4 cases were underwent premature removal due to various reasons. 66% of cases showed excellent outcome. Discussion: Proximal humerus fracture always a challenge for the orthopaedic surgeons and controversial. As we mentioned earlier here, one of the main factors deciding the outcome is mode of fixation, and JESS shows it superiority than plating in closed reduction and then K Wires in giving advantage of rigid fixation, early mobilization and no loosening. Hence JESS fixation in PHF is a wonderful and viable option of fixation method irrespective of the age and fracture pattern.