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Reduction and preliminary fixation

Converting the 3-part fracture into a 3-part situation


B1.1 and B1.3 fractures involve the surgical neck of the humerus and the greater tuberosity.

Sequence of repair:

  1. Reduce and fix the greater tuberosity to the humeral head (thereby converting the 3-part fracture into a 2-part situation)
  2. Reduce the proximal humeral fragment to the shaft and fix it.