[Percutaneous reduction and fixation of osteoporotic fractures for the proximal humerus in a geriatric population].
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.
Yang
Lei
L
Department of Orthopedics, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325003, China. wyey_yl@hotmail.com
Li
Bin
B
Pan
Xiao-yun
XY
Li
Chi
C
Huang
Jun-wu
JW
Wang
Zhen-wen
ZW
Chen
Hua
H
Zhao
You-ming
YM
Chi
Yong-long
YL
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