Proximal Humerus Fracture: Fix, Replace, or Let Heal

Area of Science:

• Orthopedic Surgery
• Geriatric Medicine
• Traumatology

Background:

• Proximal humerus fractures are prevalent, particularly in the aging demographic.
• Treatment necessitates a personalized strategy considering patient age, activity, and health status.

Purpose of the Study:

• To review current treatment modalities for proximal humerus fractures.
• To evaluate the efficacy of acute versus delayed reverse total shoulder arthroplasty (rTSA).

Main Methods:

• Literature review of recent studies on proximal humerus fracture management.
• Comparative analysis of surgical interventions including open reduction internal fixation, hemiarthroplasty, and rTSA.

Main Results:

• Nonoperative management is a common approach.
• Acute rTSA shows potential for improved range of motion and reduced complications compared to delayed procedures.
• Treatment selection is guided by fracture complexity and individual patient factors.

Conclusions:

• Optimal management of proximal humerus fractures requires tailoring treatment to patient-specific factors.
• Acute rTSA presents a promising option for specific patient populations, potentially enhancing functional recovery.
• Aligning treatment with patient goals is crucial for satisfactory outcomes.