“…1,5,13 Although plate and screw fixation has traditionally been the preferred method for humeral shaft fractures, inflatable intramedullary nail is another option for surgical management of humeral shaft fractures, which has the advantages of easy application, minimum soft tissue injury, shortening the surgery time and less exposure to radiation. 1,3,7,9,10,[13][14][15][16][17] The hydraulically inflatable intramedullary nail consists of an expandable stainless steel tube with four reinforcement bars connected by thin folded stainless steel membranes with a conical distal end. 6,10,13,16 Normal saline is injected into the hollow inner core of the nail under pressure through a proximal valve to expand it and increase its effective diameter (Fig.…”