Supporting indications

  • Good bone quality
  • Unacceptable deformity
  • Need for more stability and/or earlier mobilization

Advantages

  • Minimal soft-tissue damage
  • Earlier mobilization
  • Reduction of the metaphyseal fracture component is aided by the nail itself

Disadvantages

  • No exposure for reduction
  • Risk of damage to the axillary nerve
  • Possibility of shoulder pain and impingement
  • Limited exposure of the fracture
  • Inability to reduce and fix the lesser tuberosity