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

Locked intramedullary nailing for treatment of displaced proximal humerus fractures.

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Department of Orthopaedic and Traumatic Surgery, Royal North Shore Hospital, Pacific Highway, St. Leonards, Sydney, NSW 2065, Australia.


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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