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The most of proximal humerus fractures are minimally displaced, low-energy osteoporotic fractures and are successfully treated with conservative care. However, for those with mild to extreme displacement, appropriate care for the patient has not been completely explained. A prospective, comparative study was conducted with 50 patients to compare and evaluate functional outcome of complex proximal humerus fractures treated with plating and conservative method in elderly. The patients were selected randomly and were divided in the following two groups of 25 patients each: Group A: Cases of complex proximal humerus fractures treated conservatively; Group B: Cases of complex proximal humerus fractures treated with plating. Locking plate is the recommended implant for comminuted proximal humerus fractures. In this study, the effects of locked plate fixation were close to those of non-operative care. Early physiotherapy and a proper rehabilitation program are key to a stable working result.
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