The proximal humerus is the name of the upper part of the arm near the shoulder joint. It constitutes 5% of adult fractures. Usually occurs after simple falls in patients that above 60 years and have low bone mineral density. In young patients it may occur with severe trauma.
80% of these fractures are stable fractures and can be treated with an arm sling. Segmental fractures may separate and shift due to pulling of muscle groups. Ignoring of shift, due to the limited life quality expectation and at later ages, nonunion or malunion of the fracture may occur. In this situation, corrective surgeries or prosthetic interventions may be necessary.
Minimally Invasive surgical intervention may be required to prevent union problems and loss of function in segmental fractures. Without deterioration of the blood supply (the trauma itself can affect the blood supply enough), which is very valuable for the fracture fragments, fixation of fracture can be performed powerfully. The fracture fixation is made from the opened muscle windows. Seams and locked plates are used to control all parts. The windows used are relatively small compared to the plates placed. The windows must be within proper distance to the nerves passing through the area.
By using implants with high fixation ability, patients can be able to provide their daily movements and meet their personal needs in a few weeks. Thus, early rehabilitation and fast recovery to normal life can be achieved.
