The Translated Proximal Humerus Fracture: A Comparison of Operative and Nonoperative Management.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors report no conflict of interest. 19. J Am Acad Orthop Surg. 2023 Sep 15;31(18):968-976. doi: 10.5435/JAAOS-D-22-01211. Epub 2023 Jun 27. Technical Tips for Reduction and Stable Fixation of Proximal Humerus Fractures. Brodke DJ(1), Gurbani A, Lee C. Author information: (1)From the Department of Orthopaedic Surgery, University of California at Los Angeles, Los Angeles, CA. The surgical treatment of proximal humerus fractures, though common, is associated with surprisingly high complication rates upward of 34%. Obtaining a reduction and placing a stable fixation can be challenging because many fractures treated surgically are comminuted and occur in osteoporotic bone. Nevertheless, innovations in technique and implant design are mitigating some failures. These innovations include the use of fibular strut allograft and other fixation adjuncts, the correct placement of calcar screws and other locking fixation, and having a systematic approach to reduction and intraoperative imaging to ensure the restoration of anatomy. This review and accompanying video highlight various technical strategies to maximize the success of surgical treatment for these challenging injuries. Copyright © 2023 by the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOS-D-22-01211