Master the treatment of humeral shaft fractures. This training offers a technical immersion in intramedullary nailing, covering everything from planning to advanced reduction and locking maneuvers, to optimize your surgical outcomes.

Training Focus:

• Treatment of humeral shaft fractures.
• Intramedullary nail fixation technique.
• Use of Kirschner wire as a "joystick" for proximal fragment manipulation.
• Precise nail measurement and considerations regarding medullary canal tapering.
• Performance of proximal and distal locking, with a focus on the high difficulty of distal locking.

Detailed Content:

• Initial Assessment and Marking: Learn to delineate the long axis of the humerus and identify the deformity and the exact fracture site, using a surgical marker for precise surgical planning.
• Creation of an Aligned Access Portal: Master the technique of creating an access portal aligned with the diaphysis and rotator cuff, with special attention to incisions along the fibers to avoid injuries and the need for future repair.
• Proximal Fragment Manipulation with Kirschner Wire ("Joystick"): Understand how to use a 3.0mm or 2.0mm Kirschner wire as a "joystick" to assist in adduction and rotation correction of the superior fragment, exposing the entry point and facilitating a precise entry angle at the transition between the greater tuberosity and the humeral head.
• Optimized Entry Point: Learn how to direct guidewire introduction predominantly into the humeral head, avoiding the tubercle-head transition to prevent greater tuberosity fractures during entry point reaming.
• Precise Radiographic Evaluation of the Entry Point: Learn to perform radiographic evaluation of the entry point directly with the "joystick" in anteroposterior and lateral views, ensuring precise visualization of the free proximal fragment.
• Intramedullary Nail Measurement and Insertion: Develop the skill of precisely measuring the intramedullary nail, considering the triangular tapering of the medullary canal to avoid prominences and optimize implant fit.
• Proximal Locking Techniques: Master the performance of proximal locking, using oblique screws directed to the humeral calcar to ensure nail fixation.
• High-Difficulty Distal Locking: Delve into the freehand distal locking technique, a challenging procedure due to the triangular anatomy of the distal humerus. Understand the importance of using a sharp-tipped drill bit to prevent slippage and ensure the precision of the one-centimeter incision.
• Closure and Postoperative Outcomes: Understand the importance of rotator cuff suture (since the incision is along the fibers) to prevent shoulder function problems postoperatively, and subcutaneous and skin closure that allows early mobility.

Included Material:

• Complete Technical PDF: Educational document detailing all steps of the surgical technique for the treatment of humeral shaft fractures with an intramedullary nail.

Elevate your skills in humerus surgery. Enroll now and master advanced techniques for treating diaphyseal fractures with an intramedullary nail, ensuring optimized surgical results for your patients.