Surgical Option to Treat Proximal Humeral Fracture

【Objective】To investigate the clinical results of operative treatment of proximal humeral fracture.【Methods】Thirty two patients of proximal humeral fracture(male 19,female 13,average age 56.8 years old) were treated with operation and followed up for 10.5 months(3~28 months).Five cases were fixed with screws,15 cases with anatomic plate,9 cases with locking proximal humerus plate,1 case with proximal humeral intramedullary nail,and 2 cases were treated with replacement of the head of humerus.Early rehabilitation was done after operation.【Results】All cases were followed up for 10.5 months in the average.According to the Constant Score,the average for all fractures was 82 points.The clinical evaluation results were excellent 10 cases,good 16 cases,improved 5 cases and poor 1 case.The excellent and good rate was 81.3%.【Conclusion】Different methods for operative treatment of proximal humeral fracture is recommended according to the type of fractures,the age of patient,quality of the bone,general condition of the patient and the combination of injury.It's important to limit the damage to soft tissue and blood supply.To obtain excellent and good results,repairing the rotator cuff and joint capsule is necessary,and early rehabilitation of the shoulder must be emphasized.