Locking plate for proximal humeral fractures. Standard of care?

Epidemiology. The proximal humerus fractures are the third-leading fractures in humans. It occurs mostly in the elderly. Therapy. There are operative and non-operative options for the treatment of those fractures. The treatment options are based upon degree of dislocation and morphology of the fracture. The long-term results of two- and three-part humerus head fractures treated with intramedullary nail or locking plates shows no difference. However the standard surgical treatment of four-part humerus head fractures, which could not be treated non-operatively, should be the locking plate. Avoiding complications. Regardless of the surgical procedure, both the anatomic reposition and good reconstruction of the calcar are essential to avoid postoperative complications.