2
Insert nail
Insert and advance the nail into the medullary canal using
twisting motions. Orient the insertion handle laterally.
Monitor the nail passage across the fracture and control it in
two planes to avoid misalignment.
In case of a metaphyseal fracture, advance the nail to the
fracture site, reduce the fracture and continue into the
diaphysis.
Check the nail position in AP and lateral views.
Caution:
The proximal end of the nail must be inserted below
the humeral head surface to avoid impingement.
Warning:
Do not use a hammer, as this may increase the
risk of iatrogenic fractures.
Notes:
– If nail insertion is difficult, choose a smaller diameter nail
or ream the intramedullary canal to a larger diameter.
– Pressure against the elbow when advancing the nail
prevents distraction and potential healing problems.
MultiLoc Proximal Humeral Nail Technique Guide
Synthes
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Summary of Contents for MultiLoc Proximal Humeral Nail
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