Monolateral osteosynthesis for shaft humeral fractures

We propose a technique of combined osteosynthesis for humeral fractures on the basis of a monolateral device with simultaneous using intramedullary implants with bioactive coating. A case report of using the technique in a patient at the age of 26 years with diagnosed concomitant injury is presented (hepatorrhexis, closed comminuted fracture of the right humerus, closed fracture of the left ulna). As demonstrated, the combined osteosynthesis using the monolateral external fixator coupled with intramedullary reinforcement using wires with bioactive coating has a simple technology, reduces the time of surgery and facilitates patient care postoperatively.