Percutaneous pinning using threaded pins as a treatment option for unstable two- and three-part fractures of the proximal humerus: a retrospective study.

International Orthopaedics
Itay FenichelMoshe Perry Pritsch

Abstract

A retrospective study was designed to evaluate the results of closed reduction and percutaneous pinning using threaded pins as a treatment option for fractures of the humeral head. Patients who suffered two- and three-part fractures of the proximal humerus treated by this method of fixation were included. Fifty patients (32 females and 18 males) with an average age of 50 years were clinically evaluated at an average of 2.5 years after this procedure (range 1-4 years). The Constant score was used to evaluate the clinical outcome. Preoperative and postoperative X-rays were also assessed. Out of 50 patients, 18 (36%) obtained excellent results, 17 (34%) good results, eight (16%) fair results and seven (14%) achieved only poor results. The average Constant score was 81 (range 60-100). Fractures confined to the surgical or anatomical neck generally did better than those associated with a greater tuberosity fragment (average score 86 versus 78). Patients who required shaft stabilisation and in addition to reduction and fixation of the greater tuberosity showed a lower average score (68). There were no cases of avascular necrosis, neurovascular complications or deep infections. A significant loss of fracture position due to failure of...Continue Reading

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Citations

Aug 26, 2009·International Orthopaedics·Christian BahrsChristoph Eingartner
Aug 3, 2011·Current Reviews in Musculoskeletal Medicine·Craig S Mauro
Dec 12, 2012·Orthopedics·Ioannis S BenetosJohn Vlamis
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Oct 31, 2007·The Journal of Bone and Joint Surgery. American Volume·Shane J NhoJohn D MacGillivray
Mar 24, 2021·The Orthopedic Clinics of North America·Adeshina AdeyemoGary Updegrove

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