Proximal humeral fractures in younger patients: fixation techniques and arthroplasty

Shoulder Arthroplasty for Fracture: Does a Fracture-specific Stem Make a Difference?

“…We conclude the use of a dedicated fracture-specific humeral stem during shoulder arthroplasty for fracture improves functional parameters, improves radiographic bone healing, and appears to standardize the management of these patients. The data reported here parallel the historical reports of Dr. Neer and other recent peer-reviewed publications demonstrating similar tuberosity bone healing and restoration of active overhead elevation [4,6,7,18]. …”

“…Similarly, Sperling et al [18] have also found improved tuberosity healing (75%) and subsequent improved functional parameters with the use of a dedicated fracture stem. These results have been echoed by Boileau et al [4], with tuberosity healing exceeding 80% using a fracture-specific humeral stem. It has been demonstrated, with proximal humeral fractures, bone healing alone may not completely correlate with return of rotator cuff function [8].…”

Factors that Influence Reduction Loss in Proximal Humerus Fracture Surgery

“…21 However, reduction loss did not occur more frequently with the deltopectoral approach (11 of 147, 7.5%) than with the minimally invasive approach (6 of 105, 5.7%) in this study. Despite the many favorable clinical outcomes, the minimally invasive approach was not superior and should not be exaggerated in the terms of reduction loss.…”

Proximal humeral fracture fixation: multicenter study with carbon fiber peek plate

“…Displaced fractures which can represent an indication for surgical treatment are between 13 and 16 % of all cases [5]. For these fractures, it is difficult to define a universally accepted treatment, even because retrospective studies and meta-analyses have not yet clarified whether one protocol of treatment is superior to others [6][7][8][9][10]. Specific indications such as conservative treatment and prosthesis implant are strictly related to clinical and radiographic parameters.…”