[Ortho] Comminuted fracture proximal humerus

[Alexander Chelnokov]

Hello

George Thomas пишет:

> The fracture is completely displaced in the axial view. It is probably
> possible to align it with the patient in the vertical position, i.e.
> sitting or standing. However, I would use a locking plate for the

I agree that this reduction is not perfect. The gap may later result 
with nonunion. Such or even better reduction can be reached without site
opening as you mentioned. Locking plates are positioned as less 
invasive, why so long incision was - even longer than plate?

You would use locking plate in the discussed case because it is somewhat 
better comparatively to locked nail? Or just because you get accustomed
to use plates, or proximal humeral nails are not available around, or 
because of some other reason?

Pls compare wound size visible at x-rays of your example with ones after 
typical closed nailing of the proximal humerus.


___
Best regards,
  Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia
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