Vicenti G, et al. - Researchers compared patients alternatively treated with plates and screws vs external fixation system for a type III-IV proximal humerus fracture (PHF) regarding clinical and radiological outcomes. They analyzed 69 patients who underwent surgery for type III-IV PHF between January 2011 and January 2014. Observations revealed that in PHF treatment, percutaneous techniques have a long tradition. They noted the achievement of improved stability and possibility of early rehabilitation in correlation with the introduction of dedicated external fixation system when compared to the classical pinning technique. As per observation, this type of mini-invasive surgery seems beneficial for elderly patients with osteoporosis and comorbidities with low soft tissue damages.