Implant Selection for Proximal Humerus Fractures

? Implant selection in operative proximal humerus fractures should be guided by multiple patientand surgeon-specific factors. ? Age, physiologic status, fracture pattern, bone quality, available augments, and surgeon training should all influence decision-making. ? Multiple augments to open reduction internal fixation are available, and their indications are evolving. ? Reverse total shoulder arthroplasty is gaining traction as a reliable procedure for complex proximal humerus fractures in older patients with poor bone quality. ? Despite an abundance of evidence, the ideal treatment algorithm for proximal humerus fractures

Automated summary

Implant selection in operative proximal humerus fractures should be guided by various factors including age, physiologic status, fracture pattern, bone quality, available augments, and surgeon training. Reverse total shoulder arthroplasty is increasingly seen as a reliable procedure for complex proximal humerus fractures in older patients with poor bone quality.