Comparative Outcomes: Intramedullary Nail vs Locking Plate in Proximal Humerus Fractures

 

A proximal humerus fracture, or a break near the shoulder, is common—especially in older adults after a fall. Surgeons typically choose between two main fixation methods: the humeral intramedullary nail, a metal rod inserted inside the bone, and the locking plate, a metal plate secured outside with screws. Nails allow smaller incisions, less soft tissue disruption, and reduced blood loss, while plates are preferred for complex or multi-piece fractures. Recovery outcomes for both are quite similar, though plates may offer slightly quicker early strength gains. Ultimately, the decision depends on fracture type, bone quality, surgeon expertise, and recovery goals. Both methods are effective for restoring shoulder movement and stability. Siora Surgicals Pvt. Ltd. is a leading orthopedic implant manufacturer in India, offering a wide range of trauma implants and instruments, including humeral nails and locking plates, supplied to over 50 countries worldwide.