Fixion nails for humeral fractures

Humeral fractures in the setting of multi-trauma are usually managed with internal fixation. We prospectively followed nine patients treated with an expandable nail (Fixion, DiscoTech, Medical Technologies, Herzliya, Israel), until union. Internal fixation rapidly stabilises the injured limb, and the lack of distal cross-bolting in this device markedly reduced our operative time. There were no complications in our series and there was evidence of clinical and radiological union within 6 months. We found the nail easy to use and effective in this clinical setting.