title: [Ascending bipolar nailing using elastic nails in the treatment of fractures of the upper end of the humerus (author's transl)].
abstract: In the treatment of non-impacted fractures of the upper end of the humerus, the tendency of many surgeons is to use nailing with the fracture site closed, from the supra-olecranon fossa. This would seem to merit certain criticisms. Following reduction of the fracture, we use Ender elastic nails and two modified nails of a smaller calibre, one inserted via the epicondyle and the other via the epitrochlea. The technique of this ascending bipolar nailing using elastic nails is carried out in a horizontal supine position, which facilitates manoeuvres of reduction and facilitates anaesthesia. Apart from non-impacted fractures of the upper end of the humerus, other indications exist.
mesh_terms: D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D012784:Shoulder Fractures / Q000601:surgery*
vernacular_title: Traitement des fractures de l'extrémité supérieure de l'humérus par enclouage bipolaire ascendant avec clous élastiques.