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Fig. 1 | BMC Surgery

Fig. 1

From: Reduction and fixation of proximal humeral fracture with severe medial instability using a small locking plate

Fig. 1

Surgical procedure involved in the reduction technique in one humeral proximal fracture with medial instability. a Images obtained during operation revealed comminution of the lateral cortex. b The suture technique was used to restore the alignment of the fractures. c A T-shaped 2.7-mm locking plate was placed at the medial side of LHBT, with the T-shaped head fixed on the lesser tuberosity and the distal end fixed on the shaft. d By using the anteromedial locking plate, the lateral cortex was easily reconstructed with the suture technique and a joystick. e, f PHILOS was placed lateral to LHBT, and the traction sutures were passed through the suture holes in order to reduce the tuberosities prior to locking screw insertion and finally tied. g, h The AP and lateral radiographs of the shoulder joint were captured and attention was paid to the use of calcar screws to further strengthen the medial support

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