Abstract
The humeral shaft fractures are amenable for conservative treatment as well as external fixation, open reduction and internal fixation, and anterograde or retrograde intramedullary (IM) nailing [1]. IM locked nails have provided excellent outcomes in terms of fracture biology and cosmetic appearance because of the relatively small incision involved.
Highlights
The humeral shaft fractures are amenable for conservative treatment as well as external fixation, open reduction and internal fixation, and anterograde or retrograde intramedullary (IM) nailing [1]
The authors report that performing Multiple Elastic retrograde intramedullary Nailing in the supine position in adult humeral fractures provides the advantages of both retrograde nailing and supine position during surgery, maintaining the biology and hastening union
Multiple retrograde intramedullary nailing using titanium elastic nails for the shaft humerus fracture is an alternative and effective surgical modality along with the many techniques described in the literature
Summary
The humeral shaft fractures are amenable for conservative treatment as well as external fixation, open reduction and internal fixation, and anterograde or retrograde intramedullary (IM) nailing [1]. The limb is manipulated and the titanium nail is advanced gradually This acts like an initial reduction nail. The medial epicondyle is palpated and a small incision is made over it for the passage of nail after abducting the limb. The area is drilled gradually, first with the 2.5 mm K wire perpendicular to the shaft and thereafter with a small curved awl directed in the cephalad direction to get an access to the medullary canal. Further nails of unequal size are advanced within the fenestration made in the distal cortex to fill the medullary canal and splint it internally. This is ascertained with the C arm.
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