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The Stability of Percutaneous Fixation of Proximal Humeral Fractures
F. Castoldi, MD1; D.E. Bonasia, MD1; D. Blonna, MD1; R. Rossi, MD1; F. Dettoni, MD1; M. Assom, MD1; A. Sankey, MA, FRCS(Orth)2; C. Halewood, MEng, MBiomedE3; A.A. Amis, PhD, DSc(Eng)3
1 Department of Orthopaedic Surgery, Mauriziano “UmbertoI” Hospital, Largo Turati, 62 – 10128 Torino, Italy. E-mail address for D. Blonna: davide.blonna@virgilio.it
2 Department of Orthopaedic Surgery, Chelsea & Westminster Hospital, 369 Fulham Road, London SW10 9NH, United Kingdom
3 Department of Mechanical Engineering, Imperial College London, Exhibition Road, South Kensington, London SW7 2AZ, United Kingdom
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Disclosure: In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from the University of Turin Medical School. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Copyright © 2010 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Dec 01;92(Supplement 2):90-97. doi: 10.2106/JBJS.J.00815
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The treatment of an unstable proximal humeral fracture is challenging. Although the majority of proximal humeral fractures can be treated successfully with nonoperative treatment, some fractures require operative treatment to achieve outcomes that meet the patient's expectations.Several techniques and devices have been employed to treat unstable proximal humeral fractures, including the locking plate1,2, intramedullary locking nails3, Kirschner wires4, and screw fixation5.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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