Closed management and percutaneous fixation of unstable proximal humerus fractures

Chao Yu Chen*, En Kai Chao, Yuan Kun Tu, Steve Wen Neng Ueng, Chun Hsiung Shih

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

72 Scopus citations

Abstract

Background: In dealing with displaced proximal humerus fractures, there is still much controversy in treatment modalities. The latest investigations emphasize the concept of minimal exposure and rigid fixation. Methods: The technique of closed reduction and percutaneous fixation with cannulated screws and k-pins was performed on 19 patients with two- and three-part proximal humerus fractures. The outcomes were evaluated with a mean follow- up of 21 months. Results: All except one case had a solid union of the fracture. Sixteen of 19 patients (84%) acquired good or excellent results according to Neer's classification. No further collapse or avascular necrosis was found. Conclusion: The method of closed reduction and percutaneous fixation, although technically demanding, yields satisfactory results in displaced proximal humerus fracture. Cannulated screws provided rigid fixation that was the underlying tenet for early functional retrieval.

Original languageEnglish
Pages (from-to)1039-1045
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume45
Issue number6
DOIs
StatePublished - 12 1998
Externally publishedYes

Keywords

  • Cannulated screw
  • Neer's classification
  • Percutaneous fixation
  • Proximal humerus fracture

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