Supporting indications

  • Surgeon’s desire for improved stability and earlier use

Advantages

  • Usually allows early mobilization and light use
  • Possibility of supplementary suture fixation of tuberosities
  • More stable than fixation with screws alone
  • Open exposure makes correct reduction easier

Disadvantages

  • Risk of inadequate reduction or fixation
  • Risk of axillary nerve injury (if transdeltoid approach is used)
  • Technically demanding