Fracture Osteosynthesis
Specialized management by Dr. Stéphane Vasseur
Indications
- Displaced or unstable fractures of proximal humerus, clavicle, scapula
- Tuberosity involvement, risk of nonunion
Related pathology: Shoulder fractures
Operative principle
Reduction and internal fixation with plates/screws or nails according to the fracture pattern, under radiographic control.
Postoperative course and rehabilitation
- Immobilization varies 2–4 weeks depending on stability
- Early supervised mobilization, strengthening at 6–8 weeks
- Union 6–12 weeks
Risks
- Delayed/nonunion, stiffness
- Prominent hardware, infection (rare)
In practice
- Hospitalization: 1–3 days depending on fracture and stability
- Anesthesia: General ± regional
- Immobilization: 2–4 weeks depending on fixation stability
- Physiotherapy: Early mobilization then strengthening from 6–8 weeks