Humeral Shaft Fracture: Intramedullary Nail Fixation

Study Humeral Shaft Fracture: Intramedullary Nail Fixation through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on management of humeral shaft fractures, intramedullary nail fixation technique, and use of Kirschner wire as a "joystick" for proximal fragment manipulation.

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

• Management of humeral shaft fractures
• Intramedullary nail fixation technique
• Use of Kirschner wire as a "joystick" for proximal fragment manipulation
• Nail measurement and considerations regarding medullary canal tapering
• Proximal and distal locking, including technically demanding distal fixation

Key Technical Decisions

• Initial Assessment and Marking
• Creation of an Aligned Access Portal
• Proximal Fragment Manipulation with Kirschner Wire ("Joystick")
• Entry Point
• Radiographic Evaluation of the Entry Point

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.