Surgical treatment of the patients with comminuted fractures of the proximal humerus

Currently, according to the current literature, there is no universally accepted protocol for the treatment of patients with proximal humerus fractures. According to various authors, the risk of delayed consolidation and formation of a false joint reaches 10% of cases. Fractures of the proximal humerus are common injuries, with the majority being over 60 years of age. There are many conservative and operative methods to treat such injuries, such as immobilisation and early initiation of movement, percutaneous osteosynthesis with spokes, osteosynthesis with plates and pins, and prosthetic shoulder joints. The authors studied the results of treatment of fragility fractures of the proximal part of the humerus in 35 patients treated at KBSMP. The aim of this study was to report the results of surgical treatment of proximal humerus fractures. The gold standard of treatment according to our data is osteosynthesis with T- and LCP-plates. Out of 28 patients followed up in the long term, 13 (46.5%) had an excellent treatment result, 8 (28.6%) had a good treatment result, 5 (17.8%) had a satisfactory treatment result, and 2 (7.1%) had an unsatisfactory treatment result. The positive result of treatment was 92.1 per cent