Intramedullary nailing of displaced four-part fractures of the proximal humerus

Consensus on the treatment strategy of displaced 4-part proximal humeral fractures is still in the focus of the interest. Current strategy prefers individual approach according to biological age and fracture patterns. In younger patients, reduction and stable fixation with locking plates is recommended in all fractures capable for reconstruction, in active elderly patients, reverse shoulder arthroplasty is more frequent because of shorter physiotherapy and one-shot surgery. Results of the studies are influenced by inclusion criteria for reconstruction strategy and quality of surgery performance, especially appropriate reduction.

Source: Injury - July 28, 2019 Category: Orthopaedics Authors: Martin Kloub, Karel Holub, Jiri Urban, Pavel Latal, Marek Peml, Martin Krivohlavek Source Type: research