Simultaneous Use of 2 C-Arm Devices Facilitates Percutaneous Treatment of Proximal Humerus Fractures

Percutaneous treatment of proximal humerus fractures is a technically challenging procedure because percutaneous implants must be placed in a specific configuration to obtain optimal fixation while avoiding joint penetration. Using 2 C-arm devices can expedite this procedure by providing simultaneous visualization of the fracture and implants in 2 planes. Simultaneous orthogonal imaging during pin insertion decreases the number of passes needed to obtain optimal pin placement. Dual fluoroscopy also avoids excess exposures and inadvertent sterile field contamination, which can occur with repeated C-arm repositioning.