Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures

Figure 4

(a) A 69-female patient sustained right proximal humerus fracture AO/OTA 11-A3 with disrupted medial calcar extension and medial hinge with severe shaft medialization; (b) open reduction and internal fixation with cloverleaf plate. Good restoration of head shaft angle and medial hinge; (c) external rotation A-P view and axillary view in postoperative 15 months. Stage IV osteonecrosis with severe head collapse and multiple screws perforation were seen.

(a)

(b)

(c)