Case of the month

Head preservation done in a complicated fracture of upper humerus

  • This 60 year old lady had a fracture of upper humerus which was operated outside. Unfortunately, the reduction wasn’t good, and the fracture did not heal (Fig-1). Normally such fractures do not heal up and need replacement. We tried a new technique of saving the head of the humerus, by using fibular bone grating and plating it in good position (Fig-2). The fracture healed, and this way we were able to avoid replacement.