Surgical Discussion

Patient positioning:  supine

Anatomical surgical approach:  Deltopectoral approach starting at the lateral edge of the pectoralis major muscle, extending distally in line with the arm. Subcutaneous dissection is performed and the interval between the deltoid and pectoralis major is identified, preserving the cephalic vein

During the operation, an osteotome was used to break the formed bone callus, allowing mobilization of the fractured fragments. Sutures were applied to the rotator cuff to facilitate this mobilization. Although complete anatomic reduction was not achieved due to the subacute nature of the injury, complete medial contact was achieved and the varus was corrected. The use of bone graft was not necessary.

Postoperative protocol:   No especificado.

Follow up:   At 3 months postoperatively, fracture consolidation with good functional outcome was observed.

Orthopaedic implants used:   No especificado.