Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Meta Analysis
[The displaced proximal humeral fracture: is there evidence for therapeutic concepts?].
There is no general agreement on the operative treatment of displaced proximal humeral fractures. While T-plate fixation was the method of choice until the end of the 1980s, minimally invasive techniques have been favoured during the past decade. The indication for primary shoulder prosthesis is controversial. The purpose of this report was to evaluate the scientific evidence of current treatment recommendations. ⋯ We conclude from our analysis that the scientific evidence for treatment recommendations of displaced proximal humeral fractures is still limited.