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Fractures of the Proximal Humerus Treated by Plate Fixation

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European Surgical Orthopaedics and Traumatology
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Abstract

Treatment of displaced fractures of the proximal humerus in the fit and active patient remains a challenge. Accurate imaging is essential first with plain x-rays and with three-dimensional imaging. Knowledge of the vascular anatomy of the humeral head is mandatory to understand the consequences of the fracture pattern. When surgery is contemplated, positioning of the patient must allow a quasi-circumferential approach to the shoulder. The deltopectoral approach is the most popular but lesser invasive transdeltoid approaches are coming into vogue. Plates with locking screws afford great stability and ease of use. However the basics of biomechanics must not be forgotten, namely the presence of a medial buttress. Ignoring the principles will need to failure. Rehabilitation must be tailored to each patient but gentle early motion is encouraged in all cases. Complications of the technique are reviewed.

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Correspondence to Pierre Hoffmeyer .

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Hoffmeyer, P. (2014). Fractures of the Proximal Humerus Treated by Plate Fixation. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_6

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  • DOI: https://doi.org/10.1007/978-3-642-34746-7_6

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