J-Nailing vs Plate Osteosynthesis for proximal Humerus fractures in the elderly - An interventional study

This prospective randomized controlled trial will be conducted at the Department of Orthopaedics, SRMCH&RC. The study will include patients over the age of 60 years with closed unstable proximal humeral fractures, classified as 2-Part, 3-Part, or 4-Part according to Neer’s Classification. Patients are excluded if they present with neurovascular deficits or if they have fractures with additional complicating factors. A total of 60 patients will be included in the study, with 30 patients randomly assigned to Group A (J nailing) and 30 patients to Group B (PHILOS plating). Demographic data, including age, gender and comorbidities will be collected, and both groups will be monitored for functional outcomes using the Constant-Murley Score at baseline and at 24 months post-surgery as the primary Outcome. Secondary outcomes include VAS score, radiological assessment like time to union and complications. Other parameters, such as duration of surgery and intraoperative blood loss, will also be recorded. The Chi-square test, Z-test, and p-values will be used for statistical analysis.