This lovely 63 year old lady fell at home, sustaining a very complex head split type of proximal humerus fracture. This case was borderline unreconstructable and an immediate shoulder replacement may be another option. After discussion with the patient, we elected to repair the shoulder fracture to allow her the best chance at keeping her own shoulder joint.
She underwent an ORIF (Open Reduction and Internal Fixation) and cuff repair. The pictures demonstrate the complexity of her fracture pattern. We achieved anatomical reduction and stable fixation: the fracture lines are barely visible on her post-surgical scans. After a period of therapy she went on to do very well regaining close to full function.
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