ReviewsThe Parachute Technique: Repair of Displaced 2-part Proximal Humerus FracturesStueve, Jacob S. MD*; Fenlin, John M. MD†Author Information *Thomas Jefferson University Hospital †Rothman Institute, Thomas Jefferson University Hospital No funding was received for this project. Neither author has any financial disclosures relating to this article. Reprints: Jacob S. Stueve, MD, Department of Orthopaedics, Thomas Jefferson University, 1015 Walnut St.; Suite 801 Curtis Building, Philadelphia, PA 19107 (e-mail: [email protected]). Techniques in Shoulder and Elbow Surgery: December 2009 - Volume 10 - Issue 4 - p 125-129 doi: 10.1097/BTE.0b013e3181b3555c Buy Metrics Abstract The parachute technique is a solution for the operative challenge of the repair of displaced surgical neck fractures of the proximal humerus in osteopenic bone. Poor outcomes are common because of unsatisfactory fixation techniques coupled with poor bone quality, comminution, and muscular deforming forces inherent to these fractures. With the parachute technique, Dacron tapes, which are well tolerated by osteopenic bone, are used to create a stable construct by neutralizing the deforming forces. The use of Dacron tapes prevents the potential complications described with regard to other hardware fixation methods in the proximal humerus. This technique results in rapid fracture healing and also provides sufficient stability to allow early range-of-motion exercises. © 2009 Lippincott Williams & Wilkins, Inc.