A 64 year-old female sustained a left-sided proximal humerus fracture (AO/OTA Type 12-A2.1) and was initially treated at an outside hospital with a functional fracture brace. She was referred to the NYOTS at 4 months following her fracture and radiographs revealed a nonunion. Open reduction and internal fixation was performed with placement of a locking plate and reconstruction plate in a 90-90 orientation with placement of supplimental bone graft and placement of interfragmentary lag screws. She returned at regular follow-up intervals and healed uneventfully at 3 months following fracture surgery. At her latest follow-up visit at 14 weeks she has an excellent range of motion and has returned to all pre-injury activities.
IMAGES
- Figure A Pre-operative Anteroposterior (AP) and lateral radiographs of an AO/OTA type 12-A2.1 proximal humeral nonunion.
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- Figure B Intraoperative fluoroscopic AP and lateral images demonstrating acceptable reduction and placement of hardware.
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- Figure C AP and lateral radiographs 14 months following fracture surgery revealing a healed proximal humerus nonunion.
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- Figure D Clinical photographs demonstrating excellent range of motion.
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