Abstract
Background and Purpose: Open reduction and internal fixation for proximal humeral two-or three-part fractures is a technique-demanded procedure, especially in comminuted fractures. Most patients who had taken such procedures remained functional impaired after a long term of physical therapy. Besides, avascular necrosis would be a sequela if there was extensive soft tissue stripped from proximal humerus for anatomic reduction or for implant application. Methods: Eighteen patients with proximal humeral fracture receiving operative treatment by close reduction and external fixation were retrospectively evaluated. Eight of these patients were classified as two-part fracture, and ten of these patients were classified as three-part fracture, according to Neer's criteria. All patients were clinically examined and standard shoulder radiographs were obtained at the time of follow-up. Results: All but one fractures healed. Most patients showed good to excellent results. There is rare complication in this procedure. Conclusion: External fixation for proximal humeral two or three parts fracture could offer a reliable good outcome.
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