Locked intramedullary nailing for treatment of displaced proximal humerus fractures

Orthop Clin North Am. 2008 Oct;39(4):417-28, v-vi. doi: 10.1016/j.ocl.2008.05.001.


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.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Bone Nails
  • Fracture Fixation, Intramedullary / methods*
  • Fractures, Comminuted / surgery*
  • Humans
  • Patient Selection
  • Postoperative Care
  • Prostheses and Implants
  • Shoulder Fractures / surgery*
  • Treatment Outcome