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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2015 August;66(4):181-7
Intramedullary nailing in proximal humerus fractures: advangages and disadvantages
Caforio M., Maniscalco P., Rebuzzi M.
Struttura Complessa di Ortopedia e Traumatologia, AUSL Piacenza, Ospedale Guglielmo da Saliceto, Piacenza, Italia
Management of displaced proximal humerus fractures is a challenge. Intramedullary nailing remains an appropriate fixation technique in selected patients, above all with surgical neck 2-part fractures or with extension into the proximal diaphysis. The balance between advantages and disadvantages increases in expert hands but especially with right precautions techniques. Pay attention to: the correct reduction of tuberosities, the rotator cuff footprint and preservation of the radial nerve.