Supporting indications

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

Advantages

  • Earlier mobilization
  • Less extensive surgical wound

Disadvantages

  • Risk of axillary nerve damage
  • Limited exposure of the fracture
  • Limited control of the lesser tuberosity
  • Technically demanding
  • Disimpaction causes instability, which fixation must overcome