[Ortho] Comminuted fracture proximal humerus

[Dr Neeraj Bijlani]

Hello,

I am presenting a case of 80 year old male patient right handed known
case of hypertension, diabetes and history of CVA 2 years back had a
fall in the hosue 10 days back and came to me for pain and ecchymosis
around the right shoulder.   

Xray shows evidence of comminuted fracture proximal humerus
extraarticular. He is a doctors father and the doctor wants to know is
there any minimally invasive procedure we can do ...

I have advised him to go for complete surgery in the form of the AO
locking plate under general anesthesia.

He is a little reluctant for complete general anaesthesia.

My questions to the house is ...
1. Is there any other option besides the locking plate ?? (Less invasive)

2. If he is not medically fit for surgery, then can we leave him alone
if yes what are the chances of going it into non union?

Awaiting your reply

Dr Neeraj Bijlani

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