The patient female 82 years old was admitted to the Orthopaedic Clinic suffered from acute pain and swelling on the right upper arm - humerus after falling onto the ground.  The X-ray control of the right humerus reveal spiral displaced fracture of the proximal diaphysis.

Spiral unstable fracture of the proximal diaphysis of the right humerus

CT-scan of the right humerus reveal the type of the fracture

The CT 3D reconstruction scan of the humerus reveals the anatomic details of the fracture

Intramedullary nailing of the right humerus

The reduction of the fracture

The intramedullary nailing is a modern and effective method of minimal invasiveness for the treatment of fractures of long bones such as the humerus, femur and tibia. Immediately after surgery, the patient is relieved of pain because there is no longer movement of the broken parts of the bone. The use of the upper limb - anatomical movements are made immediately postoperatively, significantly reducing the patient's recovery time.


Spiral fracture of the right humerus (middle and upper part)

Female 72 years old after falling to the ground sustained a complicated fracture of the right humerus (middle and upper part). 

The first treatment with cast (social hospital), was impossible to stabilize the fracture.  The patient feels her arm very unstable and painful.

Finaly the decision was the operative treatment with internal fixation (plate and screws).

The original treatment with cast immobilization was not succesful.
Soft tissues among the part of the fracture was not permit for bone healing.

Surgical procedure.  Special anatomical titanium plate completely compatible with human tissues stabilize the part of the 
fracture.  The patient can move the shoulder and elbow joint immediately from the 1st post op day.

X-ray after the operation.  The part of the fracture reducted with success.  The titanium anatomical plate and screws is obvious. 

X-ray after 3 years post op.  The patient can use her arm without any problem.

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