Treatment of proximal humeral fractures with a new intramedullary nail

Is Locking Nailing of Humeral Head Fractures Superior to Locking Plate Fixation?

“…Frequently applied methods to treat displaced proximal humeral fractures include minimally invasive techniques with Kirschner wires/sutures and/or screw fixation, plate fixation, intramedullary interlocking nailing, and hemiarthroplasty. The choice of surgical technique depends on the fracture type and the patient's age, bone quality, and functional expectation [2,12,13,22,29,[33][34][35][36].…”

PHN for treatment of proximal humerus fractures: evaluation of 80 cases

“…Several authors recommend surgery with an endomedullary nail as the treatment of choice in displaced fractures with two or three fragments according to Neer's classification, in that it is a good compromise between minimally invasive treatment and the insertion of a plate, reserved for younger patients. The literature contains reports of endomedullary nailing with proximal screw locking [1,2,5,7,8] or wires [4,6]. Proximal humerus nailing, used in our cases and mentioned in recent literature [9][10][11][12], has a proximal locking mechanism with a spiral blade.…”

“…Instable, non-reducible fractures of the surgical neck of the humerus often occur in advanced age [1][2][3] and are prevalent in women [2,4]. Several authors recommend surgery with an endomedullary nail as the treatment of choice in displaced fractures with two or three fragments according to Neer's classification, in that it is a good compromise between minimally invasive treatment and the insertion of a plate, reserved for younger patients.…”

Modern Perspectives of Open Reduction and Plate Fixation of Proximal Humerus Fractures

“…20,[24][25][26][27] Other complications, including malunion, nonunion, cuff dysfunction, and osteonecrosis, have been described after both percutaneous screw or pin fixation [23][24][25]28 and intramedullary nailing. 19,23,[29][30][31][32][33][34][35][36][37][38][39][40] Conventional buttress plate fixation, using either cloverleaf, buttress or simple semitubular plates, offered the possibility of more rigid fracture fixation, 2,41-51 but fracture displacement was still prevalent as a result of screw cutout in the osteoporotic humeral head. 23 The revolution in the use of locking plate technology has now extended to the proximal humerus and site-specific locking plates have largely superseded conventional plate fixation in the last 10 years.…”