TITLE:
The Posteroanterior Locking for the Distal Humerus Nailing. Is It a Viable Option?
AUTHORS:
Yogesh Salphale, Jagannath Kaginalkar, Wasudeo Mahadeo Gadegone, Kiran Janwe
KEYWORDS:
Humerus Fracture, Humerus Nailing, Posteroanterior Locking, Interlocking Nailing
JOURNAL NAME:
Surgical Science,
Vol.8 No.11,
November
27,
2017
ABSTRACT: The distal interlocking is regarded as an inherent part of the antegrade humeral nailing technique. Traditionally the distal locking of intramedullary humeral nails is achieved using a freehand technique. The humerus nailing locking options in the conventional nailing systems are placed in the anterior-posterior and lateral-medial directions. It exposes both the patient and surgeon to radiation, is time consuming, and has a potential risk of damaging neurovascular structures, especially the radial and lateral cutaneous nerve when the anterior-posterior and lateral-medial locking constructs are used. We aim to present a technical tip to ease the distal locking procedure and avoid the possible neurovascular complications with the existing nailing systems.