Clinics in Orthopedic Surgery  2017;9(3):392-395

doi:10.4055/cios.2017.9.3.392

Retrograde Intramedullary Nailing for Humerus Fracture in a Supine Position: Performing an Unfamiliar Procedure in a Familiar Position.

Jin Woong YI 1 ; Jae Sin LEE ; Hyung Jun CHO

Affiliations

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Keywords

Humeral fractures; Fracture fixation; Retrograde; Intramedullary; Supine position

Country

Republic 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.