Figure 2: Preoperative and postoperative X-ray of a humeral shaft fracture extended to proximal third of the diaphysis (OTA type 12-B1) in a 60-year-old patient after a fall of his height. Despite the extended comminution, the nail was impacted at the distal part and led to uneventful healing of the fracture. The constant score at 6 years postoperatively was 95