Description
The VTT captures a comprehensive discussion by Andy Brooksbank on the evolution of treatment for proximal humerus fractures. He reflects on his experiences as a trainee, starting from the early days when treatments were mostly limited to sling immobilization and tension band wiring, leading up to the introduction of locked plating systems and reverse total shoulder arthroplasty. Brooksbank emphasizes the importance of selecting appropriate surgical candidates based on various factors, including patient demographics, injury patterns, and the reliability of fracture classifications. Throughout his talk, he highlights the complexities encountered in surgical interventions for shoulder fractures, underscoring the significance of pre-operative assessments and the role of patient factors such as age, bone quality, and rehabilitation access in determining surgical outcomes. Brooksbank shares insights from studies, such as the PROFHER trial, and discusses potential pitfalls in conservative and surgical treatments, particularly in younger patients with certain fracture configurations. His reflections culminate in an exploration of the decision-making process regarding surgical interventions, advocating for a careful and individualized approach to treatment, especially concerning the potential risks and benefits of surgery.
DOI: 10.1302/3114-221412