Intramedullary nailing of humeral shaft fracture (see text). A, Segmental shaft fracture in patient with multiple trauma. B and C, After fixation with intramedullary nail. D, Transverse shaft fracture. E and F, Reduction device is used to reduce fracture. G, Reaming is done to 1.0 to 1.5 mm larger than nail diameter. H, Outrigger device is used for insertion of proximal locking bolts. I, Reduction and screw placement confirmed with fluoroscopy. (D-I courtesy Thomas A. Russell, MD, Memphis, TN.) SEETECHNIQUE 57.9.