Intramedullary Nail on the Humeral Fracture

Jin-Young Park; Jung-Hwan Oh; Duk-Hwan Kho; Jae-Kyoung Jung

doi:10.12671/jkfs.2008.21.3.244

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Park, Oh, Kho, and Jung: Intramedullary Nail on the Humeral Fracture

Review Article

Journal of the Korean Fracture Society 2008; 21(3): 244-254.

Published online: 31 July 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.3.244

Intramedullary Nail on the Humeral Fracture

Jin-Young Park, M.D., Jung-Hwan Oh, M.D., Duk-Hwan Kho, M.D., Jae-Kyoung Jung, M.D.

Department of Orthopaedic Surgery, Konkuk Medical School, Seoul, Korea.

Address reprint requests to: Jin-Young Park, M.D. Department of Orthopaedic Surgery, Konkuk Medical School, 4-12, Hwayang-dong, Gwangjin-gu, Seoul 143-914, Korea. Tel: 82-2-2030-7614, Fax: 82-2-2030-7369, drpark@chol.com

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

(A) A 21-year-old woman with segmental fracture at the proximal shaft of the left humerus, which extends to surgical neck.

(B) The immediate post-nailing radiograph.

(C) The fractures unit anatomical position 1 year after operation.

Fig. 2

(A, B) Locking sutures and tension band sutures to increase the stability the humerus using #5 non-absorbable braided sutures.

Fig. 3

(A) A 62-year-old woman with comminuted 3-part fracture of the right proximal humerus.

(B) The 3D CT show severe comminution and osteoporosis.

(C-E) The fractures well unit 7 months after operation. The AVN of humeral head is not visible.

Fig. 4

(A, B) Distal cracking after reamed antegrade humeral nailing.

Fig. 5

(A, B) Further iatrogenic fracture after retrograde humeral nailing.

Fig. 6

Traction sutures on the rotator cuff attached to the greater and lesser tuberosity.

Fig. 7

Cement augmentation for rigid interlocking screw fixation during antegrade humeral nailing with osteoporotic patient.

Fig. 8

Insertion site of the retrograde intramedullary nail that is situated at the just above the olecranon fossa.

Fig. 9

New entry portal: Insertion site of the intramedullary nail on the humeral head that is situated at the medial side of the insertion of the supraspinatus and at the posterior side of the long head of biceps brachii.

Fig. 10

Exposure of the humeral head through rotator cuff interval (between the supraspinatus and subscapularis) in the proximal humeral fracture. The Antegrade humeral nailing is done through rotator cuff interval.

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