This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Orthopaedics
Fracture of the proximal humerus in an elderly patient is best treated by? 
Select and explain. 
A. K-wire fixation, B. Open reduction internal fixation, C. Cuff and sling only, D. Manual reduction and Slab application
B: Open reduction internal fixation
Answer: B: Open reduction internal fixation 
Explanation: Fracture Proximal Humerus MC fracture in osteoporotic postmenopausal women Classification of fracture - Neer classification Complications - Axillary nerve injury, Shoulder stiffness & Malunion, AVN of the humeral head Treatment Undisplaced - Immobilization in a sling (Cuff & Collar or Triangular sling) x 4 weeksDisplaced & Unstable - Closed reduction & internal fixation with percutaneous pinning or nailing(Refer: Watson Jones Textbook of Ohopedics & Trauma, 6thedition, pg no: 536-538)