What was the operative procedure performed for the left proximal humerus fracture?

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For proximal humerus fractures in children, realigning the bone with minimal soft tissue disruption and then stabilizing it to heal is ideal. Closed reduction with percutaneous pinning achieves this by reshaping the fracture without a big incision, and then placing thin wires through the skin into the bone to hold the pieces in the correct position while healing occurs. This approach preserves the blood supply and growth potential, reduces soft-tissue injury, and typically allows a quicker recovery with less stiffness than more invasive methods.

Open reduction with internal fixation would require a larger incision and more dissection, increasing risk to muscles, soft tissues, and the growth plate. External fixation is usually reserved for cases with significant soft-tissue damage or where pin placement across the fracture isn’t feasible. Casting alone wouldn’t provide stable fixation if the fracture is displaced or unstable after reduction.