ABSTRACT
Prosthetic replacement of the humeral head for fracture remains an operative challenge to even the most experienced orthopedic surgeon. Although most fractures of the proximal humerus are minimally displaced and treated conservatively, more complex fractures require operative intervention. In this respect, the four-part proximal humerus fracture and fracture-dislocation have been difficult to evaluate and manage. Results from conservative treatment have been consistently unsatisfactory, while results from surgery have been more variable with some series reporting satisfactory results (1-7).
