Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 1 Algorithm for the surgical treatment of displaced proximal humerus fractures
Fracture type | 18–59 years | 60–69 years | >70 years |
|---|---|---|---|
Isolated greater tuberosity | Plate | Plate | Plate |
Subcapital 2-part | Plate/nail | Nail/plate | Nail/plate |
3-Part (with involvement of lesser or greater tuberosity) | Plate/nail | Plate/nail | Plate/nail |
4-Part | Reconstruction with plate, if failed hemi-prosthesis | Reconstruction with plate, if failed hemi-prothesis | Reconstruction with plate, if failed reverse prosthesis |
Head-split | Reconstruction with plate, if failed hemi-prosthesis | Hemi-prosthesis | Reverse prosthesis |
Comminuted | Reconstruction with plate, if failed hemi-prosthesis | Hemi-prosthesis | Reverse prosthesis |
Fracture dislocation | Reconstruction with plate, if failed hemi-prosthesis | Hemi-prosthesis | Reverse prosthesis |