肱骨近端骨折约占成人骨折的3.5%~5%，占成人肱骨骨折的59.93%，其中60岁以上患者占比约为40.39%。随着社会老龄化的加剧，其发生率将逐年增高。对于明显移位或复位后不稳定的肱骨近端骨折，手术治疗是首选治疗方式。接骨板固定是肱骨近端骨折最常见的治疗方式之一，适用于绝大部分肱骨近端骨折。其中，经皮微创钢板内固定（MIPO）技术已成为肱骨近端骨折的治疗热点。然而，MIPO技术治疗肱骨近端骨折的难点在于如何获得理想的骨折复位。目前仍缺乏高效的可用于MIPO技术治疗肱骨近端骨折的牵引设备。本团队率先提出双反牵引复位器联合MIPO技术治疗肱骨近端骨折，并获得良好的临床应用，现总结如下，以期促进肱骨近端骨折的微创治疗。

Proximal humeral fractures account for 3.5%- 5% of all adult fractures and 59.93% of adult humeral fractures, of which patients aged over 60 years old account for 40.39%. With the aggravation of social population aging, its incidence will increase gradually. For unstable fractures or fractures withobvious displacement,surgical treatment is the primary choice. Plate osteosynthesis is one of the most common treatment methods for proximal humeral fractures, which is suitable for most proximal humeral fractures. Among them, minimally invasive plate osteosynthesis (MIPO) has become a hot spot in the treatment of proximal humeral fractures. However, the key point of MIPO in the treatment of proximal humeral fractures is how to obtain ideal fracture reduction. At present, rare efficient traction equipments for MIPO technology in the treatment of proximal humeral fractures are existed. This studyfirst proposed the application of double reverse traction repositor combined with MIPO technology in the treatment of proximal humeral fractures, and excellent clinical outcomes were observed in all patients. In order to promote the minimally invasive treatment of proximal humeral fractures, the new strategy is summarized as follows.