Abstract
Background: Proximal humerus fractures are prevalent among elderly patients, particularly those with osteoporosis, and are traditionally managed with open reduction and internal fixation (ORIF). However, ORIF can be associated with significant surgical trauma, increased risk of complications, and prolonged recovery. Minimally invasive techniques, such as percutaneous fixation, have emerged as viable alternatives, promising reduced surgical disruption and faster recovery.
Case Presentation: A 68-year-old female with osteoporosis sustained a comminuted proximal humerus fracture following a fall. Radiographic imaging revealed a Neer type II fracture with significant displacement. Given the patient’s age and bone quality, a minimally invasive approach was selected. The patient underwent percutaneous fixation using locking plates and screws, with real-time fluoroscopic guidance to ensure precise fracture reduction and stabilization. Postoperative management included pain control and a structured rehabilitation program. At follow-up, the patient demonstrated satisfactory fracture healing and functional recovery.
Conclusion: The use of minimally invasive techniques for managing proximal humerus fractures in elderly patients with osteoporosis offers significant advantages, including reduced surgical trauma, lower risk of complications, and accelerated recovery. This case underscores the efficacy of percutaneous fixation in achieving stable fracture repair and favorable outcomes, supporting its role as a viable alternative to traditional surgical methods. Continued research and clinical application are necessary to further refine these techniques and optimize patient care.

Key words: Proximal humerus fractures, minimally invasive surgery, percutaneous fixation, surgical techniques, case report