Proximal Humerus Fracture: Long Intramedullary Nail

Study Proximal Humerus Fracture: Long Intramedullary Nail through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on surgical positioning for exposure of the proximal humerus, anatomical marking and insertion of the guide wire with radiographic control, and muscle dissection and preservation of the rotator cuff.

Procedure Overview

The case is organized for structured review of surgical anatomy, procedural sequencing, instrument handling, reduction or reconstruction strategy, implant positioning, and intraoperative verification. Expert narration connects the visual field with the decisions documented during the procedure.

What You Will Observe

• Surgical positioning for exposure of the proximal humerus
• Anatomical marking and insertion of the guide wire with radiographic control
• Muscle dissection and preservation of the rotator cuff
• Manipulation with Kirschner wire used as a joystick
• Insertion of a long intramedullary nail with proximal and distal locking
• Anatomical repair of the rotator cuff with absorbable sutures

Key Technical Decisions

• Exposure of the Proximal Humerus
• Radiographic Marking
• Muscular and Tendinous Preservation
• Joystick for Humeral Head Alignment
• Stable Intramedullary Fixation

Included With This Training

• Technical PDF summarizing the procedure, operative sequence, and key review points.

Learning Format

First-person operative footage, surgeon-led narration, and case-based visual review designed to support preparation before supervised clinical training.

Educational notice: This content supports professional education and does not replace formal training, institutional protocols, patient-specific planning, or supervised clinical judgment.