ED MgMt – THAKUR
Thoracotomy & Extraction of humeral head. (BOIS)
Hemiarthroplasty – PATEL
Proximal humeral hemiarthroplasty was chosen because the humeral head obviously had no intact blood supply. Furthermore, there is significant technical difficult in fixing a comminuted 4-part proximal humerus fracture. Attempts at open reduction and internal fixation in this setting are prone to failure due to tenuous fixation and avascular necrosis.
