https://www.selleckchem.com/products/unc1999.html n in order to avoid iatrogenic motion restriction.Using interrupted nonabsorbable sutures to close the deltopectoral interval at the conclusion of the procedure is helpful in the event that any revision procedure is needed because these sutures will guide the revision surgeon toward making the deltopectoral approach in the correct interval. LTO = lesser tuberosity osteotomyROM = range of motionASES = American Shoulder and Elbow SurgeonsWOOS = Western Ontario Osteoarthritis of the Shoulder indexVAS = visual analog scaleSF-36 = 36-Item Short Form Health SurveySST = Simple Shoulder TestDVT = deep-vein thrombosis. LTO = lesser tuberosity osteotomyROM = range of motionASES = American Shoulder and Elbow SurgeonsWOOS = Western Ontario Osteoarthritis of the Shoulder indexVAS = visual analog scaleSF-36 = 36-Item Short Form Health SurveySST = Simple Shoulder TestDVT = deep-vein thrombosis. Flexible intramedullary nailing is performed for femoral fractures in pediatric patients who may be too large for spica cast immobilization but who have substantial growth remaining and who are not a candidate for rigid intramedullary nailing. Flexible nailing allows the surgeon to obtain correct alignment of the femur fracture so as to allow for healing without a lower extremity deformity. The patient is positioned on a radiolucent table, flexible nails are chosen according to the diameter of the medullary canal, medial and lateral incisions are made along the distal aspect of the thigh, and access to the canal is obtained with use of a drill-bit of the appropriate size. Flexible nails are contoured to place the apex at the location of the fracture site and then passed 1 at a time up to the fracture through the medial and lateral corticotomies. Fracture reduction is obtained, and the nails are passed across the fracture 1 at a time. Leave a small amount of nail prominent at the entry site; the nails are ysisDo not wrap rods around each othe