Early Clinical Observation of Minimally Invasive Treatment of Proximal Humerus Fractures with the Locking Proximal Humerus Plate

Objective:The aim of this paper was to evaluate early results of proximal humerus fractures with the locking proximal humerus plate.Method:In this paper we retrospectively reviewed the records and radiographs of 36 patients(25 males and 11 females)with proximal humerus fractures.These cases were treated with the locking proximal humerus plate.The fractures were reduced by the transdeltoid lateral approach using minimally invasive surgery.Passive and active exercises were initiated on the second postoperative day.The results were assessed using the Constant-Murley shoulder scoring system.Result:All cases were followed up.The average time of follow-up was 15 months(range 12 to 17 months).Radiographically,union was observed in the most cases at the end of 10 weeks.In one case non union was observed and it was grafted with an autogenous graft.Acording to ConstantMurley should scoring system,the results were very good in 22 cases,good in 9 cases,mean in 4 cases,poor in 1 cases.Conclusion:It is an effective technique to minimally invasive treatment of proximal humerus fractures with the locking proximal humerus plate to deal with proximal humerus fractures.