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

• Published in: Clinics in orthopedic surgery Vol. 9; no. 3; pp. 392 - 395
• Main Authors: Yi, Jin Woong, Lee, Jae Sin, Cho, Hyung Jun
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Orthopaedic Association 01-09-2017; 대한정형외과학회
• Subjects: Bone Nails; Fracture Fixation, Intramedullary - methods; Humans; Humeral Fractures - surgery; Supine Position; Technical Note; 정형외과학; Supine position; Fracture fixation; Intramedullary; Humeral fractures; Retrograde
• ISSN: 2005-291X; 2005-4408
• DOI: 10.4055/cios.2017.9.3.392

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.