Proximal humerus fractures: Treatment controversies
Abstract. The treatment of proximal humerus fractures is challenging, and significant controversy exists even regarding which patients are indicated for surgical treatment. When surgery is indicated, open reduction and internal fixation is the most common type of treatment. Arthroplasty is reserved...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-05-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000382 |
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| author | Utku Kandemir, MD Guy Putzeys, MD Michael McKee, MD |
| author_facet | Utku Kandemir, MD Guy Putzeys, MD Michael McKee, MD |
| author_sort | Utku Kandemir, MD |
| collection | DOAJ |
| description | Abstract. The treatment of proximal humerus fractures is challenging, and significant controversy exists even regarding which patients are indicated for surgical treatment. When surgery is indicated, open reduction and internal fixation is the most common type of treatment. Arthroplasty is reserved for unreconstructible fractures. Hemiarthroplasty may not provide good, reliable function but may be the best option in younger or middle-aged patients when fracture fixation is not feasible. While several studies reported no benefit of surgical treatment in elderly patients, more recent literature showed better outcomes with reverse total shoulder arthroplasty. |
| format | Article |
| id | doaj-art-03e356f7dff849c681849d3707f4e09b |
| institution | OA Journals |
| issn | 2574-2167 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj-art-03e356f7dff849c681849d3707f4e09b2025-08-20T01:57:01ZengWolters KluwerOTA International2574-21672025-05-0183S10.1097/OI9.0000000000000382OI90000000000000382Proximal humerus fractures: Treatment controversiesUtku Kandemir, MD0Guy Putzeys, MD1Michael McKee, MD2a Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CAb Orthopaedic and Trauma Dept, AZ Groeninge Hospital, Kortrijk, Belgiumc Dept of Orthopedic Surgery, University of Arizona College of Medicine, Phoenix, AZ.Abstract. The treatment of proximal humerus fractures is challenging, and significant controversy exists even regarding which patients are indicated for surgical treatment. When surgery is indicated, open reduction and internal fixation is the most common type of treatment. Arthroplasty is reserved for unreconstructible fractures. Hemiarthroplasty may not provide good, reliable function but may be the best option in younger or middle-aged patients when fracture fixation is not feasible. While several studies reported no benefit of surgical treatment in elderly patients, more recent literature showed better outcomes with reverse total shoulder arthroplasty.http://journals.lww.com/10.1097/OI9.0000000000000382 |
| spellingShingle | Utku Kandemir, MD Guy Putzeys, MD Michael McKee, MD Proximal humerus fractures: Treatment controversies OTA International |
| title | Proximal humerus fractures: Treatment controversies |
| title_full | Proximal humerus fractures: Treatment controversies |
| title_fullStr | Proximal humerus fractures: Treatment controversies |
| title_full_unstemmed | Proximal humerus fractures: Treatment controversies |
| title_short | Proximal humerus fractures: Treatment controversies |
| title_sort | proximal humerus fractures treatment controversies |
| url | http://journals.lww.com/10.1097/OI9.0000000000000382 |
| work_keys_str_mv | AT utkukandemirmd proximalhumerusfracturestreatmentcontroversies AT guyputzeysmd proximalhumerusfracturestreatmentcontroversies AT michaelmckeemd proximalhumerusfracturestreatmentcontroversies |