Vol. 7, Issue 1, Part A (2025)

Background: The proximal humerus fractures (PHF) persist as one of the most prevalent fractures that primarily affect elderly people. Surgeons use surgical procedures to attain the best possible functional outcome. The Modified MIROS (Minimally Invasive Reduction and Osteosynthesis System) technique represents a new method for proximal humerus fracture through minimally invasive processes. 
Objective: This research investigates how the Modified MIROS technique performs for PHF treatment by assessing functional results together with pain reduction and surgical complication frequency. 
Methodology: Research data was collected through a one-year prospective observational study implemented among 51 subjects for result evaluation. The study design followed a prospective observational structure, and all patients were followed up 6 months after operation. SPSS version 27.0 and MS Excel software were used to complete the data analysis phase. 
Result: This yearlong study results showed the male-female ratio to be 0.46: 1, with a mean age of 39.70±12.77 years, ranging from 19 to 67 years. Neer type III fracture (19 patients) is the most prominent among all types of fractures reported in this study, and 33 patients among 51 were enrolled with pre-existing osteoporosis. 82.35% of patients had full pain relief, 70.59% obtained a normal range of motion, and 88.24% experienced no postoperative complications. The surgical procedure produced minor complications arising from stiffness, which occurred in 5.88% of patients, necrosis in 3.92%, and infection in 1.96% also occurred while nonunion appeared in a 1.96% patient group. 
Conclusion: Evidence supports how Modified MIROS proves effective combined with being safe for patients with osteoporosis along with elderly demographics. Additional extensive research needs to take place to affirm these current data.