ABSTRACT
The treatment of proximal humerus fractures represents a special challenge for shoulder surgeons. Blood supply to fracture fragments has to be preserved through decreased soft tissue stripping and detachment while simultaneously assuring restoration of normal anatomic relationships and stable internal fixation that permits early range of motion. Primary prosthetic replacement is a treatment option for severe fractures. However, the results are often not satisfactory (1). For treatment to be successful it is crucial to develop an individual concept of therapy, taking into consideration not only fracture pattern and degree of displacement but also bone quality and biological age of the patient. Respecting the limits of minimally invasive osteosynthesis can provide good results in the elderly, with advanced osteoporosis as well.
