{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:54:30Z","timestamp":1791449670909,"version":"4.3.3"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nProximal humerus fractures are common in the elderly population and present significant management challenges. This study evaluates the efficacy of minimally invasive J-nail fixation for Neer type 2, 3, and 4 proximal humerus fractures in elderly patients.\n\nMaterial and Methods:\nThirty patients aged over 60 years with proximal humerus fractures were treated with J-nail fixation at our institution between May 2023 and October 2024. Functional outcomes were assessed using Disabilities of the Arm, Shoulder, and Hand (DASH) and Constant\u2013Murley scores at regular intervals up to 6 months post-operatively. Radiological union and complications, including shoulder stiffness, were documented.\n\nResults:\nThe mean age was 67.3 \u00b1 6.71 years with 56.7% males. Fall was the predominant injury mechanism (46.7%). Neer type 2 fractures were most common (63.3%). The mean DASH score improved from 85.19 at 2 weeks to 19.4 at 6 months post-operatively (P &lt; 0.001). The mean Constant\u2013Murley score improved from 12.60 pre-operatively to 82.96 at 6 months (P &lt; 0.001). Radiological union was achieved in all cases with a mean time of 12.8 \u00b1 1.83 weeks. The complication rate was 30%, with stiffness (13.3%) being the most common.\n\nConclusion:\nJ-nail fixation is a viable minimally invasive technique for proximal humerus fractures in elderly patients, providing good functional outcomes with an acceptable complication profile. It offers advantages of minimal soft tissue disruption, preservation of vascularity, and early mobilization potential.\n\nKeywords:\nProximal humerus fracture , J-nail , elderly , minimally invasive , functional outcome<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8312","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:20Z","timestamp":1791448160000},"page":"448-454","source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive J-Nail Fixation for Neer Type 2, 3, and 4 Proximal Humerus Fractures in Elderly Patients: A Prospective Clinical and Radiological Outcome Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Aditya","family":"Pathak","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhil","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Chouksey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obeir","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Parmar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Gandhi Medical College, Bhopal, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:29:21Z","timestamp":1791448161000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/minimally-invasive-j-nail-fixation-for-neer-type-2-3-and-4-proximal-humerus-fractures-in-elderly-patients-a-prospective-clinical-and-radiological-outcome-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8312","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}