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

  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

    Read Full Story

  • “I was comforted and reassured that I was in good hands now and on the road to recovery.”

    ~ Lana

    Read Full Story

  • “I can live a normal life and enjoy life once again.”

    ~ Ron Pollicino

    Read Full Story

  • “They are a huge part of the progress I have made.”

    ~ Larry Nipon

    Read Full Story

  • “I got back up on my snowboard a month ago!”

    ~ Patricia Sykes

    Read Full Story

  • “There was the possibility for the first time to live a full and adventurous life that I had always dreamed of.”

    ~ Devon Reynolds

    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