Surgical techniques for proximal humeral fracture

Objective To analyze the relationship between the surgical strategy and the clinic result in different proximal humeral fractures.Methods 39 cases with proximal humeral fractures and/or should joint dislocation were enrolled.There were 15 cases were treated with blade plate,22 with proximal humeral locking plate(LPHP) and 2 cases with hemiarthroplasty.Results All 39 patients received a mean 16 months′ follow-up(from 5 to 34 months).Constant-Murley score was used to evaluate the final result,and the mean score was 58~97,among which there were excellent in 12,good in 16,fair in 7,and poor in 4,and the excellent and good rate was 71%.In the series mean range of extension was 146°±34°(from 80°to 180°),abduction 138°±42°(from 75°to 180°),internal rotation 52.8°±23.8°(from 40°to 90°),external rotation 41°±19°(from 40°to 90°).Conclusions The surgical strategy is base on four factors: age,bone quality,fracture type and the time of surgery.A well planed surgery combined with systemic rehabilitation would give a better result.