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KMID : 1207720170090030392
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Clinics in Orthopedic Surgery
2017 Volume.9 No. 3 p.392 ~ p.395
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Retrograde Intramedullary Nailing for Humerus Fracture in a Supine Position: Performing an Unfamiliar Procedure in a Familiar Position
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Yi Jin-Woong
Lee Jae-Sin
Cho Hyung-Jun
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Abstract
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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.
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KEYWORD
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Humeral fractures, Fracture fixation, Retrograde, Intramedullary, Supine position
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