Proximal Humerus Fracture Fixation (ORIF)

Overview

Fixation of a proximal humerus fracture realigns the broken top of the arm bone and secures it with a plate, screws, or a nail so the shoulder can begin the early motion needed to avoid stiffness.

What the Procedure Involves

• Realignment of the fracture fragments
• Fixation with a plate and screws or an intramedullary nail
• Shoulder replacement reserved for severe, unreconstructable fractures
• Inpatient or outpatient depending on the injury

Who It's For

• Displaced proximal humerus fractures
• Fractures at risk of collapse or malunion
• Active patients where alignment and early motion matter

Recovery & Rehabilitation

A sling is used for 3–4 weeks with early passive motion to prevent stiffness, followed by active motion and strengthening as the bone heals over several months.

This page is for general education and is not a substitute for a medical evaluation. The right procedure depends on your individual diagnosis, anatomy, and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.