Daw, M., Eid, A., Metwally, O., Bakr, H. (2022). Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals. The Egyptian Journal of Hospital Medicine, 88(1), 2351-2356. doi: 10.21608/ejhm.2022.236099
Mohammed Saad Amer Daw; Abdelsalam Eid; Osam Mohamed Metwally; Hany Mohamed Abdelfattah Bakr. "Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals". The Egyptian Journal of Hospital Medicine, 88, 1, 2022, 2351-2356. doi: 10.21608/ejhm.2022.236099
Daw, M., Eid, A., Metwally, O., Bakr, H. (2022). 'Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals', The Egyptian Journal of Hospital Medicine, 88(1), pp. 2351-2356. doi: 10.21608/ejhm.2022.236099
Daw, M., Eid, A., Metwally, O., Bakr, H. Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals. The Egyptian Journal of Hospital Medicine, 2022; 88(1): 2351-2356. doi: 10.21608/ejhm.2022.236099
Evaluation of Result of Percutaneous Fixation Proximal Humerus Fracture in Adults in Zagazig University Hospitals
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.