Locked intramedullary nailing for treatment of displaced proximal humerus fractures

Controversy surrounds the optimal technique for fixation of displaced fractures, although locked intramedullary nailing is emerging as a preferred technique in managing displaced proximal humerus fractures in appropriately selected patients. This technique provides stable fracture fixation allowing...

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Bibliographic Details
Published inThe Orthopedic clinics of North America Vol. 39; no. 4; p. 417
Main Authors Young, Allan A, Hughes, Jeffery S
Format Journal Article
LanguageEnglish
Published United States 01.10.2008
Subjects
Algorithms
Bone Nails
Fracture Fixation, Intramedullary - methods
Fractures, Comminuted - surgery
Humans
Patient Selection
Postoperative Care
Prostheses and Implants
Shoulder Fractures - surgery
Treatment Outcome
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Summary:Controversy surrounds the optimal technique for fixation of displaced fractures, although locked intramedullary nailing is emerging as a preferred technique in managing displaced proximal humerus fractures in appropriately selected patients. This technique provides stable fracture fixation allowing early postoperative mobilization critical in ensuring a pain-free shoulder with a functional range of motion. Additional advantages include the ability to insert by way of a minimally invasive approach with limited soft tissue dissection, achieve accurate anatomic reduction, provide a secure construct even in the situation of osteopenic bone or comminution, and manage fractures of the proximal humerus extending into the shaft.
ISSN:0030-5898
DOI:10.1016/j.ocl.2008.05.001