Author
Abstract
Proximal humerus fractures - a common occurrence in elderly- comprise 4-5% of skeletal fractures. Twenty percent of such fractures require surgical treatment.Presence of painful movement at fracture site, 2-3 months after treatment, is called non-:::union:::. “Mal:::union:::” is the name given to a fracture with over 40 degrees rotation and or angulations or more than 10 millimeters displacement. The fracture pattern, age and personality of the patient and previously rendered treatment are the elements which determine the occurrence of mal:::union::: or non:::union:::.Good clinical evaluation, high quality standard radiographs and other imaging modalities like computerized tomography are mandatory for a successful treatment plan. Painful, limited range of motion and functional impairment are the two major indications for surgical intervention. Treatment with internal fixation and bone grafting of a non:::union::: or osteotomy for mal:::union::: should be individualized according to patient’s complaint and functional demands.The results of implant arthroplasty are better for acute fracture than old healed mal:::union:::s or non:::union:::s. Prevention of non-:::union::: or mal:::union::: is superior to secondary reconstructive surgeries and reconstruction outcome is dependent on meticulous planning and technique and patient selection.
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