Indications and Results of Osteosynthesis for Proximal Humerus Fragility Fractures in Elderly Patients

Overview

Journal Orthop Rev (Pavia)

Specialty Orthopedics

Date 2020 May 12

PMID 32391138

Citations 5

Authors

Luigi Murena

Gianluca Canton

Chiara Ratti

Bramir Hoxhaj

Gioia Giraldi

Michele Francesco Surace

Federico Alberto Grassi

Affiliations

Soon will be listed here.

Abstract

Proximal humerus fractures (PHF) are common injuries in the elderly population. Conservative treatment is indicated for undisplaced and stable fractures, which account for almost 80% of the cases. More complex fracture patterns might need surgery, with a wide variety of indication criteria and surgical techniques described in the literature. Surgical treatment should be reserved for patients in good clinical conditions, autonomous in daily living activities and able to adhere to postoperative rehabilitation protocols. In the elderly population with severe osteoporosis, cognitive impairment and clinical comorbidities, the risk of surgical failures is high. In these patients, the choice between surgical and conservative treatment, as well as for the type of procedure, is even more difficult, with no general consensus in the literature. Final indication is usually conditioned by surgeon's experience and preference. Two independent reviewers (B.H and G.G) independently extracted studies on proximal humeral fractures. All selected studies were screened independently (B.H and G.G) based on title and abstract. Then the full text of any article that either judged potentially eligible was acquired and reviewed again. Any disagreement was resolved by discussing the full text manuscripts. Aim of the present paper is to review the literature about indications and results of osteosynthesis for proximal humerus fragility fractures in the elderly population.

Citing Articles

Valgising angular stable plate fixation in the treatment of multifragmentary proximal humeral fractures in elderly patients.

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Stabilization of Comminuted Fractures of the Proximal Humerus with Intramedullary Nails and Angularly Stable Locking Plates-Functional Results before and during the SARS-COVID-19 Pandemics.

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Plate reverse shoulder arthroplasty for proximal humeral fractures: The psychological health influence the choice of device?.

Maccagnano G, Solarino G, Pesce V, Vicenti G, Coviello M, Nappi V World J Orthop. 2022; 13(3):297-306.

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Correlation of CT Values and Bone Mineral Density in Elderly Chinese Patients with Proximal Humeral Fractures.

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