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Four part fractures of the proximal humerus
Mohit Bhandari1, Gary Matthys, Michael D McKee
1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. bhandari@sympatico.ca
Background:
Four part fractures of the proximal humerus represent approximately 5% of all proximal humeral fractures. Treatment options for these displaced fractures include nonoperative treatment, open reduction and internal fixation, and arthroplasty. Presently, there is a lack of consensus on the optimal management strategy for this complex injury.
Objective:
To determine the effect of alternate devices in the management of four part proximal humerus fractures in patients on the risks of reoperation, need for implant removal at 1 year, and pain.
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