Open reduction and plate osteosynthesis is the currently favored technique for C3.2 fractures. With poorer bone quality, prosthetic replacement might be considered.

Supporting indications

  • Unacceptable instability or deformity
  • Bone quality suitable for internal fixation

Advantages

  • Preservation of humeral head
  • Possibility for delayed arthroplasty
  • Exposure available from open glenohumeral reduction

Disadvantages

  • Risk of fixation failure
  • Risk of avascular necrosis
  • Technically demanding