Keywords : percutaneous pinning with k-wire
Study of functional outcome of multiple percutaneous pinning for proximal humerus fracture
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2809-2819
Introduction: Proximal humerus fractures account for 4-5% of all fractures, it is the second most common fracture of the upper extremity, these fractures have a bimodal age distribution. Women are affected more than men. About 80% of these fractures are un-displaced according to NEER’s criteria and, only 20% are displaced and require operative interference. However various methods of internal fixation have been proposed, for full functional recovery anatomical reduction, stable fixation, early mobilisation are required. The blood supply of the head of the humerus is at risk, however not only from the injury also from the dissection of soft tissues at ORIF. The incidence of mal-union, non-union and avascular necrosis (AVN) after percutaneous pinning is less and limited exposure and minimal dissection of the soft tissues at the fracture site is recommended. Our aim was to evaluate the functional outcomes of proximal humerus fractures treated with multiple percutaneous k wires.
Methods: This is a prospective study of 20 patients with proximal humerus fracture treated by percutaneous pinning with K-wires from June 2019 to June 2021 were clinically and radio graphically analysed. Functional assessment of final results are noted using Neers scoring system.
Results: According to Neers score 5 had excellent results (25%), 11 had satisfactory results (55%), 3 had unsatisfactory (15%) and 1 patient had failure (5%).
Conclusion: From the present study it is concluded that the treatment of proximal humerus fracture is closed reduction with percutaneous pinning with K wire fixation, as it is least time consuming, biological fixation, easy to operate, less soft tissue damage with good functional outcome.