BACKGROUND Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality. Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals. METHODS We performed a literature search in the da...

BACKGROUND Complex acute proximal humeral fractures may require prosthetic replacement of the proximal humerus. Reverse shoulder arthroplasty (RSA) has been suggested as an alternative to hemiarthroplasty in the management of such fractures. This study compared the functional outcomes of RSA with hemiarthroplasty in patients with acute proximal humeral fractures. MATERIALS AND METHODS All pat...

BACKGROUND Proximal humeral fractures are common lesions of the elderly, but there are no established treatment guidelines. A surgical treatment for comminuted and displaced fractures of the proximal humerus was developed and is still evolving. The aim of this study was to perform a quantitative review to evaluate the risk of avascular necrosis (AVN) in patients with proximal humeral fractures ...

Aim: To evaluate the safety, usefulness, and practical outcome of the locked proximal humerus plate (LPHP) to treat proximal humerus fractures. Setting: Patel hospital Karachi, Indus Hospital Karachi and Civil Hospital Karachi. Methods: Over a 08 month period, 64 consecutive patients were treated with a LPHP for an unstable or displaced proximal humerus fracture. Demographic data, trauma mechan...

Primary hemiarthroplasty of the shoulder is an accepted procedure to treat complex proximal humeral fractures. The goal of this study was to assess the functional outcome in patients treated with hemiarthroplasty using a custom offset shoulder prosthesis, either for an acute four-part fracture of the proximal humerus or following failed primary treatment of a complex humeral fracture. Thirty se...

BACKGROUND Osteoporosis may complicate surgical fixation and healing of proximal humerus fractures and should be assessed preoperatively. Peripheral quantitative CT (pQCT) and the Tingart measurement are helpful methods, but both have limitations in clinical use because of limited availability (pQCT) or fracture lines crossing the area of interest (Tingart measurement). The aim of our study was...

Aim of the present study is to investigate the efficacy and safety of TachoSil to reduce afterbleeding and hematoma following operative treatment of proximal humerus fractures. In a prospective randomized study we included a consecutive series of 40 patients with a proximal humeral fracture in this study. All fractures were stabilized surgically with a fixed-angle “Philos plate” from May 2008 t...

RATIONALE Proximal humerus fracture occuring simultaneously with dislocation of a shoulder in children is extremely rare, with only a few recent reports of on such cases having been reported. PATIENT CONCERNS A 6-year-old girl fell from a ladder and landed on her dominant right arm with pain in the right shoulder and unable to perform movements; her shoulder did not allow for passive movement...

Background: Proximal humeral fractures are third most commonly occurring of old age. PHILOS plate gives maximum fracture stabilization in the treatment proximal Aim: To assess effect management humerus and its on DASH scores. Methodology: A comparative cross-sectional analytical study was carried out from February to July 2022. Healing functional outcome assessed at 24 weeks using quick Disabil...