Nonunion (unhealed fracture) and malunion treatment

A 64-year-old female sustained a left-sided proximal humerus fracture (AO/OTA Type 12-A2.1) and was initially treated at an outside hospital with a functional fracture brace.

She was referred to David L. Helfet, MD at the Orthopaedic Trauma Service of the Hospital for Special Surgery 4 months following her fracture and radiographs revealed a nonunion.

Open reduction and internal fixation was performed with placement of a locking plate and reconstruction plate in a 90-90 orientation with placement of supplemental bone graft and placement of inter-fragmentary lag screws.

She returned at regular follow-up intervals and healed uneventfully at 3 months following fracture surgery. At her latest follow-up visit at 14 weeks she has an excellent range of motion and has returned to all pre-injury activities.

  • Figure A

    Figure A

    Preoperative Anteroposterior (AP) and lateral radiographs (left images) of an AO/OTA type 12-A2.1 proximal humeral nonunion, intraoperative fluoroscopic AP and lateral images (center images) demonstrating acceptable reduction and placement of hardware and AP and lateral radiographs (right images) 14 months following fracture surgery revealing a healed proximal humerus nonunion.


  • Figure B

    Figure B

    Clinical photographs demonstrating excellent range of motion.


Tags: , , ,

Our Patients

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

    Read Full Story

  • “Most definitely worth traveling across the country!”

    ~ H. Hope Hamill

    Read Full Story

  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

    Read Full Story

  • “We never would have gotten through this without HSS.”

    ~ Robert Casale

    Read Full Story

  • “Dr. David Helfet had looked at my leg, immediately rushed me to the OR and did a 4 compartment release saving my only leg!”

    ~ Dawn Bray

    Read Full Story

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 

Dean G. Lorich, MD

David S. Wellman, MD