The purpose of this study was to use finite element analysis to compare the biomechanical characteristics after lateral locking plate (LLP) or LLP with a medial anatomical locking plate (LLP-MLP) fixation of proximal humeral fractures with an unstable medial column.First, a 3-dimensional, finite element analysis model was developed. Next, LLP and LLP-MLP implants were instrumented into the prox...

Proximal humerus (PH) fractures are among the most fracture types. Surgery is indicated in displaced fractures. The charge-book for surgical management of PH fractures is restoring PH anatomy, obtaining stable osteosynthesis, and conserving PH vascularization. Proximal humerus nailing is an osteosynthesis technique we have been using since 2000. Our initial indication for using a nail for PH fr...

Proximal humerus fractures account for approximately 4 – 5% of the all fractures [1,2,3]. The incidence of fracture is more common in the elderly because of decreased bone density. But it can occur in younger age group following high velocity trauma [3]. Because of increasing incidence of high velocity trauma, the fracture patterns in proximal humerus are becoming complicated. It has been alway...

Proximal humerus fracture represents five to eight percent of all fractures and is twice as common in women than in men. Most cases of displaced fracture of the proximal humerus are treated surgically; it is probable that more cases are preferred to be treated surgically greater than required. The optimal treatment for these fractures remains controversial, but physicians have a tendency to tre...

Despite recent advances in operative techniques, internal fixation of (3- and 4-part) displaced proximal humeral fractures in elderly patients with osteoporotic bone remains controversial, sometimes followed by poor results. The aim of the present study was to evaluate outcomes of internal fixation with locking plate of multi-fragment proximal humeral fractures in elderly patients. The study co...

PURPOSE To evaluate early functional outcomes of hemiarthroplasty for 3- or 4-part proximal humeral fractures. METHODS 16 men and 11 women aged 27 to 83 (mean, 56) years underwent hemiarthroplasty for comminuted 3-part (n=13) or 4-part (n=14) proximal humeral fractures. All the patients reported normal shoulder function prior to injury. The range of shoulder motion and muscle power were evalu...

QUESTION What is the effect of exercise on reducing impairment and increasing activity in the rehabilitation of people with upper limb fractures? DESIGN Systematic review of controlled trials. PARTICIPANTS Adults following an upper limb fracture. INTERVENTION Any exercise therapy program, including trials where exercise was delivered to both groups providing there was an expectation of di...

BACKGROUND Proximal humeral fracture is a common fracture. Different approaches have been utilized in the surgical intervention of three-part fractures. Our study is to evaluate the clinical outcomes and effectiveness of a modified anterolateral approach and intra-osseous portal in minimally invasive treatment for three-part proximal humeral fractures in comparison to the traditional deltopecto...

BACKGROUND Treatment for displaced proximal humeral fractures is still under debate. Few studies exist at the highest level of evidence. Although reversed total shoulder prosthesis has gained popularity and showed promising results in the treatment for proximal humeral fractures in the elderly patients, no randomized controlled trials exist to the authors' knowledge. METHODS/DESIGN This study...

BACKGROUND Current treatments for proximal humeral fractures include conservative treatment, conventional open reduction internal fixation (ORIF) and MIPPO through deltoid-splitting approach. The aim of this study was to evaluate the clinical outcome of MIPPO versus ORIF via the deltoid-pectoralis approach in elderly patients with proximal humeral fractures. METHODS Thirty-six patients with p...