In the paper, an analysis of the results of surgical treatment in 32 patients with fractures of brachial diaphysis is given. Thirty one patients were subjected to retrograde osteosynthesis, the end of a nail being remained under the greater tubercle of the humerus, and in one patient a nail was inserted directly just on the cubital fossa aspect. Among 32 examined patients only 11 patients showed complete restoration of the anatomical integrity and function of the extremity. Partial restriction of the motion was noted in 6 cases. It is the author's opinion that in diaphyseal brachial fractures intramedullary osteosynthesis, with an nail being inserted upwards through the upper margin of the cubital fossa, is mostly rational.

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