A 26-year-old male was involved in a road traffic accident where he sustained a fracture of the right humeral shaft with multiple cuts and abrasions. His right hand was also injured with multiple fractures of the metacarpal bases and cuts. He was treated with closed humerus reamed nailing for his arm fracture and external fixation for his hand injuries. He followed up 8 weeks later to have the external fixator removed and again 2 years later to remove the implants from his humerus fracture treatment. The wounds had healed and the procedure was performed successfully.

1. A Humerus Fracture Case
• 26 year old male H/O RTA
• Sustained Fracture of the right humeral shaft with
multiple CLWs and abrasions.
• Ipsilateral hand was also involved in the injury with
multiple fractures of metacarpal bases and CLWs.
• Treated with Closed Humerus reamed Nailing.
• Ex Fix for the hand.
• Came only once for follow up for the removal of
External fixator@ 8 weeks, then again after 2 years

4. Hand Injury treated with JESS

6. Healed multiple abrasions and CLWs

7. IMPLANT REMOVAL

8. 8 mm Incision over earlier
Entry scar

9. Negotiating Awl tip into the nail under C arm

10. Passing Extraction Bolt once tract made with Awl

12. Extraction Bolt Fixed not properly in another view,
Subsequently reapplied

13. attempted different views of the shoulder

14. Removal of Proximal locking bolt
Distal Bolt was already lying out of the bone
otherwise should be removed before this

15. Nail being extracted

16. After Extraction

17. Removal of distal bolt lying in the soft tissue

21. Thank You