Techniques for Using a Novel Intramedullary Cage Technology for Fixation of Proximal Humeral Fractures

Abstract

Proximal humeral fragility fractures in the elderly are common. Locking plate technology has made stable anatomic reconstruction theoretically possible. However, current surgical techniques using locked plates are associated with unacceptably high complication rates. Since no surgical treatment has distinguished itself, there is no agreed upon preferred treatment option. In this context, a novel intramedullary fracture fixation technology is discussed with the in- tent of reducing or eliminating the complication concerns with cur- rent technologies. This technology – Proximal Humeral (PH) Cage – is indicated for the treatment of 2-, 3-, and 4- part proximal humeral fractures. Two different interventional techniques – a deltopectoral surgical approach and a minimally invasive surgical approach – are detailed in this paper. Our early experience with a human case is pro- vided to illustrate the techniques for fracture reduction and fixation using the PH Cage. Keywords: