NDLI: Percutaneous fixation for displaced proximal humeral fractures in adolescents and young adults

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Percutaneous fixation for displaced proximal humeral fractures in adolescents and young adults

Content Provider	Scilit
Author	Bigawi, Hossam El Gazzar, Amr El Kandeel, Wael
Copyright Year	2013
Abstract	BackgroundClosed reduction and percutaneous pinning of proximal humerus fractures is a reliable method for stable fixation in certain patients. Although it is less rigid biomechanically than plate and screw constructs, percutaneous pinning may be used in patients younger than 45 years of age with good bone quality and noncomminuted fracture fragments.Patients and methodsTwenty-three patients with displaced proximal humeral fractures (after high-energy trauma), mean age 26.4 years (range 14-45 years), were treated by closed (nine patients) or open (14 patients) reduction and percutaneous pinning with smooth pins. Pins were removed after 6-8 weeks and followed up for a mean of 6.7 months (range 6-14 months).ObjectivesEvaluation of the results of treatment of displaced surgical neck fractures in adolescents and young adults.ResultsAccording to the Constant scoring system, the mean score was 89.65 points. Seventeen patients (73.9%) had an excellent score, three patients (13%) had a good score, and three patients (13%) had a fair and poor score. Twenty patients (87%) were satisfied with the result of the treatment and three patients (13%) were not satisfied.ConclusionDisplaced proximal humeral fractures could be treated by closed or open reduction and percutaneous pinning, yielding good fracture positioning and adequate temporary stabilization. No major complications such as avascular necrosis, nonunion, deep infection, or neurovascular deficit were associated with this method of treatment.
Related Links	http://www.eoj.eg.net/article.asp?issn=1110-1148;year=2013;volume=48;issue=3;spage=229;epage=233;aulast=El;type=2
File Format	XHTML
ISSN	11101148
DOI	10.4103/1110-1148.125829
Journal	The Egyptian Orthopaedic Journal
Issue Number	3
Volume Number	48
Language	English
Publisher	Medknow
Access Restriction	Open
Subject Keyword	Orthopedics Adolescent Displaced Humeral Percutaneous Proximal The Egyptian Orthopaedic Journal, Volume 48, Issue 3
Content Type	Text
Resource Type	Article

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