Abstract
Proximal humeral fracture is a typical fracture in elderly people with osteoporosis and problems are often faced in these operations. We treated 21 cases by intramedullary fixation using spiral pins. All achieved bone union and their pain decreased gradually. All also showed comparatively good results with no contracture due to the early start of rehabilitation. The spiral pin is conisdered a useful operative method for the elderly because it provides sufficient fixation and less invasion.