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  Indian J Med Microbiol
 

Figure 1: (a) Clinical intraoperative photograph of Schanz pin inserted into the proximal humerus to control the rotations of proximal fracture fragment during the procedure. (b) Intraoperative fluoroscopy image of Schanz pin in the proximal humerus. (c and d) Entry point created using an awl followed by Steinmann pin. (e) Guidewire passed after reducing the fracture. (f) Proximal entry reamed to facilitate the broad proximal portion of intramedullary interlocking nail. (g) Nail passed into the medullary canal after withdrawing the Schanz pin to single cortex. (h) Clinical photograph showing the control of the proximal fragment using the Schanz pin like a “joy-stick.” (i and j) Shows good reduction of fracture in the anteroposterior and lateral radiographs, respectively. (k) Placement of distal interlocking screws using “mini-open locking” technique.(l) Proximal locking screws being placed with the aid of sleeve touching the bone in order to avoid neurovascular injury. (m) Successful placement of proximal locking screws

Figure 1: (a) Clinical intraoperative photograph of Schanz pin inserted into the proximal humerus to control the rotations of proximal fracture fragment during the procedure. (b) Intraoperative fluoroscopy image of Schanz pin in the proximal humerus. (c and d) Entry point created using an awl followed by Steinmann pin. (e) Guidewire passed after reducing the fracture. (f) Proximal entry reamed to facilitate the broad proximal portion of intramedullary interlocking nail. (g) Nail passed into the medullary canal after withdrawing the Schanz pin to single cortex. (h) Clinical photograph showing the control of the proximal fragment using the Schanz pin like a “joy-stick.” (i and j) Shows good reduction of fracture in the anteroposterior and lateral radiographs, respectively. (k) Placement of distal interlocking screws using “mini-open locking” technique.(l) Proximal locking screws being placed with the aid of sleeve touching the bone in order to avoid neurovascular injury. (m) Successful placement of proximal locking screws