MVP Journal of Medical Sciences

Open Access Open Access  Restricted Access Subscription Access

Functional Outcome of Proximal Humerus Fractures Treated with Closed Reduction and Percutaneous Pinning


Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India
2 Former Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India
3 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India
 

Background: Fractures of proximal humerus are very common. Many options are available for its management including non-operative management. Reconstruction of the articular surfaces including restoration of the anatomy and a stable fixation with minimal soft tissue damage is the main principle of this procedure. Percutaneous pinning is the less invasive, less time consuming and reliable procedure and avoids complications such as avascular necrosis, infections and heavy weight bearing implants. Aims and Objectives: 1. To study the clinical profile of adult patients with proximal humeral fractures. 2. To study the functional outcome of closed reduction and percutaneous pinning of proximal humeral fractures. 3. To study the factors affecting functional outcome of proximal humeral fractures. Materials and Methods: This is a prospective study among 32 patients on whom percutaneous pinning was done after closed reduction for the fractures of proximal humerus. This study was conducted from August 2014 to December 2016. Results: According to Neer's functional assessment score the functional outcome was excellent in 18 (56.3%) patients, satisfactory in 6 (18.8%) patients, unsatisfactory in 7 (21.9%) patients and failure in 1 (3.1%) patient. Conclusion: Percutaneous pinning is simple, less invasive, reliable and effective procedure. It reduces risk of heavy implant bearing, infection and avascular necrosis.

Keywords

Neer's Functional Assessment Score, Percutaneous Pinning, Proximal Humerus Fractures
Font Size

User
Notifications

  • Rockwood and Green's Fractures in Adults.7th ed. Lippincott Williams & Wilkins; 2010. p. 1039-48.

  • Koval, Kenneth J, Zuckerman, Joseph D. Handbook of Fractures. 3rd ed. Lippincott Williams and Wilkins; 2010. p. 165-171.

  • Venkatesh Kumar et al. The outcome analysis of proximal humerus fractures treated by minimal internal fixation. Journal of Evolution of Medical and Dental Sciences. 2014; 3(20):5585-5591. https://doi.org/10.14260/jemds/2014/2633

  • Resch H et al. Percutaneous Fixation of 3 and 4 part fractures of the proximal humerus. Journal of Bone and Joint Surgery. 1997; 79-B:295-300. https://doi.org/10.1302/0301620X.79B2.0790295

  • Badman et al. Fixed angle locked plating of two, three and four part humerus fractures. Journal of American Academy of Orthopedic Surgeons. 2008; 16:294-302.

  • https://doi.org/10.5435/00124635-200805000-00008. PMid:18460690

  • Nishikant Kumar et al. Evaluation of percutaneous pinning in unstable proximal humeral fractures: A novel technique. Journal of Orthopedics and Allied Sciences. 2013; 1(2):33-6.

  • https://doi.org/10.4103/2319-2585.125042

  • Gupta M. A comprehensive study of osteosynthesis of proximal humerus fractures in adults. 2010. MCh Certification Programme in Orthopedic Surgery; 2010. p. 4-5.

  • Jay DK et al. Outcomes after percutaneous reduction and fixation of proximal humeral fractures. J Shoulder Elbow Surg. 2007; 16:330-8. https://doi.org/10.1016/j.jse.2006.09.006. PMid:17321163


Abstract Views: 209

PDF Views: 79




  • Functional Outcome of Proximal Humerus Fractures Treated with Closed Reduction and Percutaneous Pinning

Abstract Views: 209  |  PDF Views: 79

Authors

Suyog Baliram Chavhan
Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India
Bharat Kelkar
Former Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India
Brijbhushan Mahajan
Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422203, Maharashtra, India

Abstract


Background: Fractures of proximal humerus are very common. Many options are available for its management including non-operative management. Reconstruction of the articular surfaces including restoration of the anatomy and a stable fixation with minimal soft tissue damage is the main principle of this procedure. Percutaneous pinning is the less invasive, less time consuming and reliable procedure and avoids complications such as avascular necrosis, infections and heavy weight bearing implants. Aims and Objectives: 1. To study the clinical profile of adult patients with proximal humeral fractures. 2. To study the functional outcome of closed reduction and percutaneous pinning of proximal humeral fractures. 3. To study the factors affecting functional outcome of proximal humeral fractures. Materials and Methods: This is a prospective study among 32 patients on whom percutaneous pinning was done after closed reduction for the fractures of proximal humerus. This study was conducted from August 2014 to December 2016. Results: According to Neer's functional assessment score the functional outcome was excellent in 18 (56.3%) patients, satisfactory in 6 (18.8%) patients, unsatisfactory in 7 (21.9%) patients and failure in 1 (3.1%) patient. Conclusion: Percutaneous pinning is simple, less invasive, reliable and effective procedure. It reduces risk of heavy implant bearing, infection and avascular necrosis.

Keywords


Neer's Functional Assessment Score, Percutaneous Pinning, Proximal Humerus Fractures

References





DOI: https://doi.org/10.18311/mvpjms%2F2020%2Fv7i1%2F16599