Humerus Fracture Surgery
What Is Humerus Fracture Surgery?
Humerus fracture surgery refers to the surgical stabilization of a broken upper arm bone, realigning the fractured pieces and securing them in place so the bone can heal in proper position. The specific technique used depends heavily on where along the humerus the fracture occurs — near the shoulder (proximal humerus), along the shaft, or a fracture involving multiple fragments.
When Is Humerus Fracture Surgery?
Surgery is generally considered for:
- Fractures that are significantly displaced or angulated, where the bone fragments are out of acceptable alignment
- Fractures involving multiple bone fragments, particularly at the shoulder end of the bone, where alignment strongly affects future shoulder function
- Fractures involving the joint surface itself
- Open fractures or fractures associated with nerve or blood vessel injury
- Fractures that fail to heal with nonsurgical treatment
Many proximal humerus fractures that remain reasonably well-aligned can be treated successfully without surgery, so a careful assessment of fracture pattern and displacement guides this decision.
How Is Humerus Fracture Surgery Performed?
Depending on the fracture location and pattern, the surgeon may use a plate and screws to realign and secure the fragments, an intramedullary nail inserted through the center of the bone to stabilize a shaft fracture, or, in select severe proximal humerus fractures in older patients with poor bone quality, a shoulder replacement instead of attempting to repair the shattered fragments. The choice of technique is guided by the specific fracture pattern, the patient’s bone quality, and overall functional goals.
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Recovery After Humerus Fracture Surgery
- A sling is typically worn for several weeks to support the arm while the bone heals
- Gentle, guided motion is often introduced earlier than with nonsurgical treatment, since the fixation provides stability during healing
- Physical therapy progresses gradually, advancing from motion to strengthening as healing is confirmed on X-rays
- Return to full activity generally takes several months, with the specific timeline depending on the fracture location and fixation method used
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Dr. Palsis specializes in the treatment of knee, shoulder, and sports injuries.