Neurosurgeon
Neurosurgeon
FRACTURES | LAS VEGAS
Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada
The proximal humerus includes the humeral head, greater tuberosity, lesser tuberosity, and proximal shaft. The rotator cuff tendons attach to the greater and lesser tuberosities and are often involved in proximal humerus fractures. The blood supply to the humeral head can be disrupted in severely displaced fractures.
Dr. Andrew Lee at Nevada Spine Clinic and Southern Hills Hospital in Las Vegas evaluates each fracture individually to determine the most appropriate fixation strategy based on fracture pattern, bone quality, and patient goals.
Displaced proximal humerus fractures in patients with adequate bone quality and favorable fracture patterns are treated with plate and screw fixation. In older patients with severely comminuted fractures or poor bone quality, shoulder replacement may provide more reliable results than fixation. Dr. Andrew Lee evaluates each patient individually at Southern Hills Hospital in Las Vegas.
Dr. Andrew Lee performs proximal humerus fracture fixation and replacement at Southern Hills Hospital in Las Vegas. For fractures amenable to fixation, a locking plate and screw construct stabilizes the fracture while preserving the humeral head. For fractures where the head cannot be reliably preserved, reverse total shoulder replacement provides reliable function particularly in older patients.
Recovery depends on fracture severity, fixation achieved, and patient factors. Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas provides individualized rehabilitation guidance to optimize bone healing and functional recovery.
Weight bearing restrictions and activity timelines are determined at follow-up appointments based on fracture healing progress on imaging.
Pain decreases progressively as healing occurs over six to twelve weeks. Functional recovery continues for three to six months following surgery. Dr. Lee monitors healing with imaging at regular follow-up visits.
Most patients return to independent daily activity within six to twelve weeks, with full recovery over three to six months depending on fracture complexity and patient factors.
No bathtub, swimming, or hot tub until cleared by Dr. Lee.
Follow all wound care instructions at discharge. Avoid soaking the incision in water until cleared by Dr. Lee. Pat the wound dry after showering and apply a clean bandage.
Monitor the incision for increasing redness, warmth, swelling, or drainage and contact Nevada Spine Clinic immediately if any of these occur. Prescription refills require forty-eight hours advance notice.
Follow the specific weight bearing restrictions provided by Dr. Lee. These are individualized to your fracture pattern and the fixation achieved at surgery. Do not bear weight beyond prescribed limits until cleared at follow-up.
Contact Nevada Spine Clinic or go to the nearest emergency room for fever, sudden increase in pain, inability to bear weight as previously tolerated, or wound concerns.
No bathtub, swimming, or hot tub until cleared by Dr. Lee.
Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas
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