Procedure

Position

1. Position and mount the affect the arm on limb positioner

2. Skin preparation and draping

Incision

3. Skin incision with deltopectoral approach

4. Retracted cephalic vein

5. Clavipectoral fascia splitted

Reduction and Fixation

6. Greater tuberosity and less tuberosity tagged with Ultrabraid #2 suture

7. Fracture reduce with K-wire

Wound closing

Vicryl 1, Vicryl 2/O and Skin staper

Pressure dressing

Shoulder immobilizer