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Reduction and preliminary fixation


Reduction/Fixation of the tuberosities

Sequence of repair:

  1. Reduction/fixation of the tuberosity (thereby converting the 3-part fracture into a 2-part situation)
  2. Reduction/fixation of the proximal humeral fragment to the shaft

For improved stability an additional (cannulated) lag screw can be placed in the lesser tuberosity.