AIMS The PROximal Fracture of the Humerus Evaluation by Randomisation (PROFHER) randomised clinical trial compared the operative and non-operative treatment of adults with a displaced fracture of the proximal humerus involving the surgical neck. The aim of this study was to determine the long-term treatment effects beyond the two-year follow-up. PATIENTS AND METHODS Of the original 250 trial ...

Proximal humerus fractures comprise approximately 5% of all fractures, with isolated greater tuberosity fractures accounting for approximately 20% of proximal humerus fractures. Although performing shoulder arthroscopy in situations including a fracture is technically demanding, it allows surgeons the opportunity to identify and treat other coexisting lesions that could have otherwise been miss...

The reverse prosthesis has become a treatment of choice for glenohumeral osteoarthritis in a cuff-deficient shoulder. It allows restoration of mobility despite the loss of rotator cuff function. Hemiarthroplasty, the historical standard of care for proximal humeral fractures requiring replacement, fails most commonly because of tuberosity nonunion. Therefore, in the face of poor bone quality, t...

Infectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperative Pseudomonas infection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring. We present the devastating complication of a pediatric patient who developed Pseudomonas aerugin...

BACKGROUND Since 2003, we have used the Proximal Humerus Interlocking System plate for treatment of proximal humeral fractures. Although many patients have good and excellent results, the reported rate of complications varies. We have focused on the complication rate and risk factors for complications 1 year after surgery. METHODS From 2003 until 2008, a total of 294 (223 women; 71 men; media...

Fractures of the upper end of the humerus that interrupt the blood supply to the humeral head may justify a prosthetic replacement. A rigorous analysis of the patient's condition and the type of fracture is a prerequisite before rejecting an indication of orthopedic treatment or fixation. The result of a hemiarthroplasty is mainly conditioned by compliance with technical rules whose purpose is ...

Proximal humerus fractures are common and have a bimodal age distribution. Fracture-dislocations in younger patients result from highenergy trauma and most surgeons attempt open reduction and internal fixation, if at all possible. Osteoporotic fractures in elderly patients are commonly associated with low-energy trauma such as groundlevel falls and most are minimally displaced, impacted fractur...

Background The incidence rate of olecranon fractures is highest in the elderly population. aim this study was to determine whether patients with have similar demographic and risk characteristics compared osteoporotic upper extremity fractures. Methods A retrospective data analysis performed diagnoses for fracture, distal radius fracture proximal humerus between 2014 2016. Results total 157 olec...

BACKGROUND Open reduction and internal fixation of proximal humerus fractures can be difficult to achieve adequate, complication free results due to osteopenia of the proximal humerus and unstable fracture patterns. This study aimed to compare the biomechanical properties of a novel hybrid fixed angle blade plate (Fx plate) with an established fixed angle locking plate (PHILOS plate). METHODS...