Locking plate fixation for proximal humerus fractures: are four proximal screws adequate? A clinical and radiological analysis of 105 consecutive cases - Takeaways - MDSpire
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Evaluation of Four Proximal Screws in Locking Plate Fixation for Proximal Humerus Fractures: A Clinical and Radiological Study of 105 Cases

  • By

  • Christian Michelitsch

  • Philipp Florian Stillhard

  • Christoph Zindel

  • Christoph Sommer

  • Yves Pascal Acklin

  • August 30, 2026

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  • 1

    Proximal humerus fractures are common in the elderly, often requiring surgical stabilization due to high complication rates.

  • 2

    This study evaluated the adequacy of fixation using four screws positioned cranially in the humeral head for fracture treatment.

  • 3

    A retrospective cohort study was conducted on patients with AO/OTA type 11-A: C proximal humerus fractures treated between 2007 and 2010.

  • 4

    Patients were divided into two groups based on screw configuration: four-screw fixation and multi-screw fixation.

  • 5

    Postoperative care included physiotherapy and radiographic assessments to confirm fracture healing and implant positioning.

Original Source(s)

Locking plate fixation for proximal humerus fractures: are four proximal screws adequate? A clinical and radiological analysis of 105 consecutive cases

  • by Christian Michelitsch, Philipp Florian Stillhard, Christoph Zindel, Christoph Sommer, Yves Pascal Acklin

  • August 30, 2026

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