DOI: https://doi.org/10.36347/sasjs.2026.v12i03.012

Pages: 231-234

Proximal humerus fractures represent about 4% of all fractures. Conservative treatment of these fractures is common. The choice of surgical treatment is based on a multiparametric analysis. This surgery is threatened by several complications, notably shoulder stiffness. The aim of this work was to evaluate the anatomical and functional outcomes of the surgical treatment of proximal humerus fractures. This is a descriptive study with retrospective data collection over 5 years from January 2020 to December 2024. We collected sixteen cases. The average age of our patients was 35.6 years, with extremes of 18 and 80 years. There were 10 men and 6 women. The type of fractures was Neer II in 3 cases (Fig. 1), Neer III in 9 cases, and Neer IV in 4 cases. The types of osteosynthesis were Kirchner-wires fixation in 4 cases and locking plate in 12 cases. Functional outcomes were assessed according to the Constant score. Bone consolidation was achieved in all patients. We recorded 1 case of surgical site infection and 4 cases of shoulder stiffness. The mean absolute Constant score was 60.2 points ranging from 38 to 90 points. The result was excellent and good in 12 cases, fair in 3 cases, and poor in 1 case. The decision for surgical treatment depends on a multifactorial analysis. Osteosynthesis of displaced proximal humerus fractures yields satisfactory results. This surgery remains threatened by surgical site infection and shoulder stiffness. Osteosynthesis with a locking plate via a minimally invasive approach appears to be a good alternative.