The technique of osteosynthesis of the humerus

We suggest the following technique for intramedullary osteosynthesis of the shoulder. The patient lies on the healthy side. The injured limb is in the position of maximum extension. In closed osteosynthesis, the medullary canal is opened with a perforator from the puncture of the skin and soft tissues along the anterior edge of the acromial process of the scapula, where the upper pole of the head is projected. In open retrograde osteosynthesis a perforator is inserted into the same section. After osteosynthesis, the protruding end of the structure inserted under the acromial process of the scapula does not prevent restoration of function in the shoulder joint.