Evaluation of Percutaneous Pinning of Fractures of the Surgical Neck of the Humerus in Children and Adolescents | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 48, Volume 87, Issue 1, April 2022, Page 1281-1287 PDF (786.08 K) | ||||
| DOI: 10.21608/ejhm.2022.223319 | ||||
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| Authors | ||||
Mohammed Abdulmajed Adgyeas  ; Adel Mohammad Salama; Mohamed Hamed Fahmy; Sameh Mohamed Holyl
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| Abstract | ||||
| Background: Open or closed reduction with Kirschner wires, screws, and flexible nails has been documented for the treatment of displaced proximal humeral fractures, however percutaneous K-wire fixation is the most widely utilized procedure. Objective: This study aimed to evaluate short-term clinical and radiographic results of percutaneous pinning of surgical neck-humerus fractures in children and adolescents using k-wire. Patients and Methods: Our study was done on 18 patients with fractures of the surgical neck of the humerus at Zagazig University Hospital treated by percutaneous pinning using k-wire. The humerus fractures were followed up clinically and radiologically for 6 months. Neer and Horwitz classification was used to classify fractures. Constant-Murley shoulder scoring system were used to evaluate results. Results: According to Constant-Murley scoring system the result obtained were excellent in 14 patient (77.78%) and good only in 4 cases (22.22%). Concerning the complications of the current study, 11 cases had no complication (61.11%), 3 cases had stiffness (16.67%) and 4 cases had superficial infection (22.22%). 4 cases of superficial infection were treated with antibiotics and daily dressing. K-wires were not required to be removed early. All of them achieved excellent results. 3 cases of stiffness were completed by physiotherapy, 2 of which yielded good results and 1 of which yielded excellent results. Conclusion: Fractures of the surgical neck in children and adolescents can be successfully treated with percutaneous k-wires technique, which provides stability after reduction of fractures. Early and adequate physiotherapy program gives better results regarding the range of motion. | ||||
| Keywords | ||||
| Percutaneous pinning; Surgical neck of the humerus | ||||
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