Nonunions of the surgical neck of the proximal humerus are unusual, given the natural ability of these fractures to heal without surgical intervention. However, when they do occur, they can be quite difficult to treat because of the often poor bone quality and other associated factors. The keys to successful treatment of these nonunions are limited exposure and minimal hardware, which maximize the potential for obtaining bony union and a pain-free functional shoulder. This report describes a two-tension-band technique that combines both these factors.
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