Pain Free Journey Conservative to Replacement in Proximal Humeral Fixation

Description

This presentation discusses the journey of proximal humerus fractures, highlighting the speaker's experiences and insights gained from various studies and clinical practices. The talk begins with an acknowledgment of colleagues and introduces the speaker's location in Pune, India. It emphasizes the importance of collaborative assessment among surgeons regarding fracture management, revealing a surprising lack of consensus on surgical approaches, with only a small percentage of unanimous decisions among experts.



The speaker cites significant studies, notably the PROFHER trial, impacting conservative management strategies in fracture treatment. The presentation outlines how early supervised rehabilitation after fractures significantly improves outcomes and discusses various surgical techniques, including the use of plates and screws for stabilization, while cautioning against higher rates of complications like screw penetration.



Notably, the speaker underscores the need for a thorough understanding of each patient's specific case, emphasizing the balance between conservative treatment and surgical intervention, particularly in elderly patients with complex fracture types. The presentation further explores the complexities involved in revision surgeries and offers personal anecdotes about patient outcomes, stressing the importance of proper fixation and rehabilitation. Overall, it reflects a commitment to refining surgical techniques and patient management strategies in orthopaedics.

DOI: 10.1302/3114-221726

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