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2022, Number 1

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Ortho-tips 2022; 18 (1)

Humeral retrograde nailing: a case report

Hernández-Molina JR, López-Rubio A, Villalobos-Rodríguez A

Language: Spanish
References: 20
Page: 68-71
PDF size: 192.31 Kb.


ABSTRACT

The treatment of shaft fractures of the humerus to this day is still controversial. Humeral intramedullary nailing (HIN) is emerging as the gold standard for the treatment of this type of fracture. In the antegrade technique, the access allows direct entry to the proximal humerus epiphysis, with the disadvantage of involving a healthy joint, generating chronic pain or the need for revision surgeries. The retrograde technique eliminates the risk of postoperative shoulder pain, rotator cuff injury and axillar nerve injury. It is more complex since the entry point is a thin layer of bone, generating an iatrogenic fracture as the main complication. We present a 28-year-old male, run over, with a direct contusion on the left arm. He began with severe pan, deformity, increased volume and loss of function, going to the emergency department at Hospital Ángeles Mocel for evaluation and treatment. Radiographically with a simple transverse fracture in the middle third of the humerus. He undergoes definitive treatment with retrograde HIN. On the seventh postoperative day, he presents full range of motion in shoulders and elbows, with pain in the approach area.


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