Population

Mathematics

Radiography

Complication

Reduction (mathematics)

Surgery

Fixation (population genetics)

Geometry

Humerus

Arthroplasty

Shoulders

Internal fixation

Medicine

Environmental health

Journal of Shoulder and Elbow Surgery

Locking plate technology has increased the frequency of open reduction and internal fixation (ORIF) of proximal humerus fractures (PHF). A number of technical pearls have been recommended to lower the complication rate of ORIF. These pearls are particularly relevant for patients aged >60 years, when nonoperative treatment and arthroplasty are alternatives commonly considered. There have been few large, single-center studies on the modern application of this technology.

Locking plate fixation of proximal humerus fractures in patients older than 60 years continues to be associated with a high complication rate