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Factors influencing surgical outcomes of fixation with locking plate for three- and four-part proximal humerus fractures in patients aged 50 ​Years and older.

Thy Gia Anh LeKhanh Hong Thien BuiHung Phuoc DoNguyen Tri PhanCuong Manh HoangTan Thanh PhamMinh Ngoc DinhTan Viet NguyenQuan Minh DiepKhoa Minh LeThai Van NguyenPhi Duong Nguyen
Published in: Journal of hand and microsurgery (2024)
Open reduction and internal fixation (ORIF) provides good bone healing and functional outcomes for three- and four-part proximal humerus fractures. Factors such as age, gender, bone density, bone grafting, and rotator cuff sutures do not significantly affect outcomes. Therefore, osteoporosis should not be a contraindication for ORIF with locking plates in these cases. Complex fractures, however, often lead to poorer outcomes and higher complication rates post-surgery.
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