Supporting indications

  • Unacceptable deformity
  • Need for more stability and/or earlier mobilization
  • Osteoporotic bone

Advantages

  • Earlier mobilization
  • Less soft-tissue damage than ORIF

Disadvantages

  • Risk of axillary nerve damage
  • Limited exposure of the fracture
  • Technically demanding
  • Greater tuberosity reduction must be nearly anatomical, and preserved during plating
  • Disimpaction causes instability, which fixation must overcome