Retrograde Intramedullary Nailing for Humerus Fracture in a Supine Position: Performing an Unfamiliar Procedure in a Familiar Position.
10.4055/cios.2017.9.3.392
- Author:
Jin Woong YI
1
;
Jae Sin LEE
;
Hyung Jun CHO
Author Information
1. Department of Orthopaedic Surgery, Konyang University College of Medicine, Daejeon, Korea. oeo-oeoeo@hanmail.net
- Publication Type:Case Report
- Keywords:
Humeral fractures;
Fracture fixation;
Retrograde;
Intramedullary;
Supine position
- MeSH:
Biology;
Cicatrix;
Fracture Fixation;
Fracture Fixation, Intramedullary*;
Humeral Fractures;
Humerus*;
Methods;
Rotator Cuff;
Supine Position*
- From:Clinics in Orthopedic Surgery
2017;9(3):392-395
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intramedullary (IM) nailing for humeral shaft fracture has provided excellent outcomes in terms of fracture biology and cosmetic appearance because of the relatively small incision involved. However, antegrade nailing causes issues such as iatrogenic rotator cuff injury. Retrograde nail fixation method could avoid cuff injury, but has shortcomings such as the need for the prone or lateral decubitus position during surgery. We report that the retrograde IM nail fixation technique performed in a supine position and some ancillary techniques for minimizing scars or complications can provide the advantages of both retrograde nailing and supine position during surgery.
