Modern Perspectives of Open Reduction and Plate Fixation of Proximal Humerus Fractures肱骨近端骨折开放复位和钢板固定的现代观点C. Michael Robinson, B***, FRCSEd (Orth), Anish K. Amin, MD, FRCSEd (Orth),Keith C. Godley, MBChB, Iain R. Murray, B***, MRCSEd, and Tim O. White, MD, FRCSEd (Orth)Summary: Recent innovations have greatly increased the range of proximal humeral fractures that are amenable to open reduction and plate ?xation.The optimum technique for some of the more complex fracture patterns is not yet fully re?ned.This article aims to describe the recent advances in the treatment of complex proximal humeral fractures by open reduction and locking plate ?xation, focusing particularly on the indications for surgery, the operative techniques, and the expected outcomes after treatment.摘要：最近的创新已经极大地增加了能进行开放复位和钢板固定的肱骨近端骨折的范围。但是对于一些更复杂骨折类型的最佳方法还没有完全确定。本文目的是讲述开放复位和锁定钢板固定复杂肱骨近端骨折的最新进展，尤其聚焦于手术适应症、手术方法和治疗的预期结果。Key Words: proximal humeral fracture, fracture reduction, plate ?xation关键词：肱骨近端骨折，骨折复位，钢板固定(J Orthop Trauma 2025;25:618–629)INTRODUCTION引言The indications for head-preserving operative recon- struction of proximal humeral fractures have expanded over the last decade, and surgery is now considered for many fractures that may previously have been treated either nonoperatively or by arthroplasty. This is partly the result of a better appreciation of subgroups of fractures that have a better prognosis from head salvage1–4 and the recognition that the functional results after humeral head replacement are often suboptimal, often because of tuberosity malunion or nonunion. 5–12在过去十年里肱骨近端骨折的保头手术重建适应症已经扩大...
