Locking plate fixation for proximal humerus fractures—when ... | 合法醫療器材資訊網

2020年10月15日—Inthelasttwodecades,lockedplatetechnologyhasimprovedthemanagementofproximalhumeralfractures.Thiscanbeattributedtothe ...

Fractures of the proximal humerus account for 4–8% of all fractures and are the third most common type of injury in patients over 65 years of age (1-3). The incidence of these fractures has increased in the past decade, likely attributable to the aging population and the associated increase in the incidence of osteoporosis (4,5). Despite the relative frequency of these fractures, the majority are amenable to non-operative management with good functional outcomes (6-8).

The treatment of displaced fractures remains controversial. A recent Level I study suggests that at 5 years, displaced surgical neck fractures in the older population managed non-operatively may do as well as those treated surgically (9). Similarly, it is unnecessary to operate on certain low demand patients with 3- and 4-part fractures (10). Based on poor historical outcomes when managed conservatively (4,11-23...