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Approach for antegrade nail insertion. Copyright by AO Foundation, Switzerland.

Approach for antegrade nail insertion. Copyright by AO Foundation, Switzerland.

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Fig. 5. Anterior approach for minimal invasive plate osteosynthesis....
Fig. 6. Approach for antegrade nail insertion. Copyright by AO...
Fig. 7. Approach for retrograde nail insertion. The medullary canal is...
Fig. 8. AO/OTA classification of humeral shaft fracture types....
+8 Fig. 9. Groups and qualifications of humeral shaft fractures according...
Humeral Shaft Fractures in Adults – Effectiveness of Surgery versus Functional Bracing
Thesis
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  • Aug 2021
The Finnish Shaft of the Humerus (FISH) randomized clinical trial was planned to compare the effectiveness of surgery versus nonsurgical care in the treatment of humeral shaft fractures in patients traditionally deemed suitable for nonsurgical care with functional bracing. The FISH trial forms the basis for this thesis.
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Context 1
... intramedullary nail is introduced to the medullary canal from either the proximal (antegrade, Fig. 6) or distal (retrograde, Fig. 7) direction. For antegrade nailing, an approximately 4 cm incision is made from the anterolateral border of the acromion downwards. The muscle fibers of the deltoid muscle are split, and the rotator cuff interval is opened. Care must be taken to avoid excessive opening of the deltoid muscle, as the ...