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Reduction and preliminary fixation

It might still be advantageous to secure the humeral head using 2 or 3 K-wires

Fix the humeral head temporarily

Secure the reduced humeral head temporarily using 2 or 3 K-wires. As shown, they are placed from distal to proximal.

Make sure that they are anterior enough to avoid interfering with the plate application.

If the greater tuberosity is comminuted, additional smaller K-wires may be needed to fix separated fragments.