Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4083534 | Orthopedic Clinics of North America | 2008 | 12 Pages |
Abstract
Controversy surrounds the optimal technique for fixation of displaced fractures, although locked intramedullary nailing is emerging as a preferred technique in managing displaced proximal humerus fractures in appropriately selected patients. This technique provides stable fracture fixation allowing early postoperative mobilization critical in ensuring a pain-free shoulder with a functional range of motion. Additional advantages include the ability to insert by way of a minimally invasive approach with limited soft tissue dissection, achieve accurate anatomic reduction, provide a secure construct even in the situation of osteopenic bone or comminution, and manage fractures of the proximal humerus extending into the shaft.
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Authors
Allan A. Young, Jeffery S. Hughes,