Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 12, Volume 88, Issue 1, July 2022, Pages 2351-2356 PDF (659.57 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2022.236099 | ||
| Authors | ||
| Mohammed Saad Amer Daw* ; Abdelsalam Eid; Osam Mohamed Metwally; Hany Mohamed Abdelfattah Bakr | ||
| Abstract | ||
| Background: Percutaneous pinning is a minimally invasive treatment with a limited number of applications for fractures of the proximal humerus. Objective: to assesswhether closed reduction with percutaneous pinning gives sufficient stability to allow early active range of motion and eventual bone healing in the proximal humerus. Patients and Methods: 18 patients with age above 18 years with closed proximal humeral fracture in adults at Zagazig University Hospital by closed reduction and percutaneous pinning by K-wire were the subject of our study. Percutaneous K-wire fixation was used to treat the patients. We followed up patients and evaluated our results at 1, 3 then 6 months according to constant score (CS). Results: The radiographic union of all but one of the patients occurred by 12 weeks. Intraoperatively, there were no serious issues, eighteen patients had superficial (mild) pin tract infection (100%), One patient had delayed union (5.6%), the last patient had pin loosening (5.6%), and no patient had nonunion or avascular necrosis (AVN). The average Constant-Murley score was 81. Conclusion: By using a closed reduction with percutaneous pinning (CRP) to stabilise fractures of two and three parts, the advantages of minimum soft tissue invasiveness and less blood loss can be achieved. | ||
| Keywords | ||
| Percutaneous Fixation; Proximal Humerus | ||
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