IDENTITY

• Name : Alimah
• Sex : Female
• Age : 54 y.o
• Medical Record : 314570
• Ward : Ceplok Sriwedari
 Anamnesis
• Chief Complaint : flail of right arm
• History of illness :
• Difficult to move his right arm since 3 months ago,
without pain. Hard to eating and bathing.
• No complaint of arm muscles paralysis or numbness.
• History of humerus plating fixation 9 months ago on
kustati Hospital.
• No history of falling or trauma after humerus surgery.
Physical examination
Right arm region:
L: surgery scar on the anterior and posterior arm
with valgus deformity
F: No NVD, false of movement (+) without pain
M: false of movement (+) without pain
Passive elbow ROM full
Pre Operative Clinical Picture
Pre operative X ray
 Assesment
Non-union fracture of right shaft humerus with metal
failure
Plan
ORIF reconstruction
Intra Operative
HEAD
HEAD
Distal fragment

ARM
Proximal fragment

ARM

Radial nerve
 Shoulder

Radial Nerve brought anteriorly

Forearm