CORR Insights®: What Are the Long-term Outcomes of Locking Plates for Nonosteoporotic Three-part and Four-part Proximal Humeral Fractures With a Minimum 10-year Follow-up Period?

This article discusses the long-term outcomes of locking plates for nonosteoporotic three-part and four-part proximal humeral fractures. Proximal humeral fractures are becoming more common and account for 5% of all fractures in adults. There is controversy surrounding the best way to classify and manage these fractures, with some suggesting that surgery offers no benefit compared to nonoperative treatment. However, about 15% to 30% of patients undergo surgery, most commonly open reduction and internal fixation (ORIF). The use of locking plates has improved the stability of proximal humeral fractures, but they are associated with a high rate of complications. The article highlights the importance of anatomic fracture reduction for good long-term results and provides insights into the ideal patient for ORIF. The study recommends further research to standardize classification systems, explore other surgical techniques, and improve education and training for the evaluation and treatment of these fractures. [Extracted from the article]