title: [Percutaneous reduction and fixation of osteoporotic fractures for the proximal humerus in a geriatric population].
abstract: OBJECTIVE
  To appraise the value of clinical treatment of percutaneous reduction and fixation of osteoporotic fractures for the proximal humerus in a geriatric population.
  
  
  METHODS
  Postoperation complication, mortality in hospital and within the first three months postoperation, operation time, blood transfusion requirement, the functional outcome of the shoulder had been analysed and observed in 37 cases for open and closed fixation.
  
  
  RESULTS
  Closed reduction provided the benefit of obtaining and holding adequate reduction without the soft-tissue dissection of open reduction and internal fixation. The general complication and mortality in the first three months postoperation in the open reduction and internal fixation cases were more severe than the percutaneous cases.
  
  
  CONCLUSIONS
  Open operation increases the risk of the geriatric population with osteoporotic proximal humerus fracture; percutaneous reduction and fixation may be preferable.
authors.affiliation: Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325003, China. wyey_yl@hotmail.com
authors.forename: Lei
authors.initials: L
authors.lastname: Yang
authors.forename: Bin
authors.initials: B
authors.lastname: Li
authors.forename: Xiao-yun
authors.initials: XY
authors.lastname: Pan
authors.forename: Chi
authors.initials: C
authors.lastname: Li
authors.forename: Jun-wu
authors.initials: JW
authors.lastname: Huang
authors.forename: Zhen-wen
authors.initials: ZW
authors.lastname: Wang
authors.forename: Hua
authors.initials: H
authors.lastname: Chen
authors.forename: You-ming
authors.initials: YM
authors.lastname: Zhao
authors.forename: Yong-long
authors.initials: YL
authors.lastname: Chi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D010024:Osteoporosis / Q000150:complications; D011183:Postoperative Complications / Q000517:prevention & control; D012784:Shoulder Fractures / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome