Fixation of proximal humeral fracture after valgus impaction osteotomy. A, Long Steinmann pin is placed from shaft into head segment. B, Traction sutures are tensioned and tied to pin. Tensioning sutures pulls head segment out of varus. C, Lateral view of proximal humerus after provisional fixation; note that position of pin and sutures allows unobstructed access for definitive fixation with precontoured locking plate (D).