Nevertheless, the recommendations for operative interventions are being broadened, as stabilization eliminates the need to immobilize the limb, thus not affecting the patient's professional and social activities, enabling immediate rehabilitation, reducing the risk of joint stiffness and shortening recovery time.Ĭomminuted fractures of proximal humerus conservative treatment intramedullary nailing operative treatment plate osteosynthesis shoulder arthroplasty. Non-displaced or minimally displaced fractures may be treated conservatively by immobilizing the limb in an orthosis for three weeks. Nevertheless, in elderly patients with advanced bone loss, in whom anatomical reduction of bone fragments is difficult or impossible, stabilization questionable and patient cooperation in the postoperative rehabilitation impossible to enforce, arthroplasty should be considered. In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. Both methods produce comparable results enabling bone union and restoration of limb functionality. A bone fracture (abbreviated FRX or Fx, Fx, or ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. Among all currently used methods of stabilization of proximal humeral fractures, the best outcomes are afforded by angularly-stable plate fixation and interlocking or reconstructive intramedullary nailing. They rank among the most frequent fractures in adults, with incidence increasing with age and the degree of bone loss (osteoporosis). Comminuted fractures of the proximal humerus impair shoulder function, resulting in more or less severe disability.
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