There has been an increased interest in the external and percutaneous fixation of proximal humerus fractures. Numerous advantages of external fixation like less blood loss, ease of application, and rigid fixation provide a promising new avenue for the management of humeral fractures.

A retrospective case series by Siddhartha Sinha et al assessed the radiological and functional outcome of proximal humerus fractures treated with the Joshi External Stabilization system (JESS).

The records of patients more than 18 years of age with proximal humerus fractures who were operated with the JESS fixator were reviewed and a proforma based on each follow-up was filled by the investigators.

The key findings of the study were:

• A total of 28 patients met the inclusion criteria with an average age o

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