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Discussing the indications and contraindications of them all is beyond the scope of this review, but following are many of these fixation options: tension band wiring (16,21); modified tension band wiring with Enders rods (22); closed reduction and percutaneous pinning (23); intramedullary nailing (24); and open reduction internal fixation with a variety of plate-and-screw constructs, including standard T-plates, (18,25) blade plates, (17) and the newer locking proximal humerus plates.
At present, tension band wiring is the widely accepted technique.