Evaluation of percutaneous pinning in unstable proximal humeral fractures: A novel technique

Kumar, Nishikant; Anand, Sumit; Raj, Rishi; Mehtani, Anil

doi:10.4103/2319-2585.125042

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…In the present study the different fracture management techniques are evaluated according to their union time percutaneous fixation is done in 36 patients (20-2 part and 14 3-part) it has a mean l union of 6 wk in both the cases (Barkat et al (2011) conducted a study on 18 patients with followup of 14 m concluded that The average time of healing was seven weeks [14] , Nishikant Kumar et al (2013) conducted a prospective study for 3 yr and concluded that the average time of healing was 7 weeks in fracture fixed by percutaneous pins [15] Satish et al published a study in 2016 evaluating 25 patients for followup of 6 m Mean duration for union was 6.5 (±1.18) weeks [16] . Mean CMS score at 6 month of present study in all fracture types treated by the percutaneous fixation was 84.6 in 2-part and 78.1 in 3-part, which was comparable to study published by Satish R Gawli et al [16] in 2016 who found it to be 78.1 and study published by Barakat et al [14] in 2011 who found it to be 73.…”

Section: Discussionmentioning

confidence: 97%

To asses the functional outcome of 2-part and 3-part proximal humerus fracture treated by proximal humerus nail and percutaneous fixation

Jaiswal¹,

Kaushik²,

Gupta³

2020

Int. J. Orthop. Sci.

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Introduction: Fractures of the proximal humerus are relatively common injuries in adults, representing 4%-5% of all fractures presenting to the accident emergency department and approximately 5% of fractures of the appendicular skeleton. The vast majority are low-energy osteoporotic fractures with a 2-3 to 1 female to male preponderance. In the current study proximal humerus fracture 2 and 3 part, were treated by intermedullary locking nail and percutaneous fixation technique depending on the fracture pattern and assessment of the functional outcome was done so as to provide some inference regarding the suitable techniques that can be used with optimum results. Material and Methods: We received 183 patient with proximal humerus fracture in our institute from December 2017 to December 2018, out of which 43 were 2-part and 33 were 3-part, with predominance to elderly and female. Out of 76 total patients 68 (32 3-part and 36 2-part) were operated (32 -PHN and 36-percutaneous fixation). Results: In 2-part fracture both the fixation technique showed the similar radiological union time of 6 week and functional outcome of PHN (16 cases) was ASES-85.5 and CMS-79.8, and Percutaneous fixation (20 cases) mean In 3 part fixation the radiological union showed by the PHN (18 cases) was 8.6 week and the ASES -83.5 and CMS-77.8, in percutaneous fixation (14 cases) was 10.2 week and mean ASES -80.7 and CMS-78.1. Conclusion:Patient with 2-part fracture favours the fixation with percutaneous fixation given the adequate bone quality and no metaphyseal involvement, and also have the better functional outcome. In 3-part fracture the PHN has a better functional outcome and union time. The proximal humerus fracture along the factors of fracture type, is still varied on the fracture anatomy and the bone condition to decide the method of fixation.

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Section: Discussionmentioning

confidence: 97%

To asses the functional outcome of 2-part and 3-part proximal humerus fracture treated by proximal humerus nail and percutaneous fixation

Jaiswal¹,

Kaushik²,

Gupta³

2020

Int. J. Orthop. Sci.

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“…In the present study the different fracture management techniques are evaluated according to their union time "K" wire fixation is done in 8 patients (5 undisplaced, 1 type 2 and 2 type 3) it has a mean l union of 7.5 wk. Barkat et al [11] conducted a study on 18 patients with followup of 14 m concluded that The average time of healing was seven weeks, Nishikant Kumar et al (2013) [12] conducted a prospective study for 3 yr and concluded that the average time of healing was 7 weeks in fracture fixed by percutaneous pins. Satish et al [13] published a study in 2016 evaluating 25 patients for followup of 6 m Mean duration for union was 6.5 (±1.18) weeks.…”

Section: Discussionmentioning

confidence: 99%

To assess the functional outcome of 3-Part and 4-Part proximal humerus fracture treated by philos

Punia¹,

Jaiswal²,

Gupta³

2021

Int. J. Orthop. Sci.

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Background: Majority of the fractures of proximal humerus are relatively common injuries in adults and are low-energy osteoporotic fractures. In the current study proximal humerus fracture 3 and 4 part were treated by PHILOS fixation technique depending on the fracture pattern and assessment of the functional outcome was done so as to provide some inference regarding the functional outcome and patient selection. Material and methods:We received 183 patients with proximal humerus fracture in our institute from December 2019 to December 2020, out of which 23 were 3-part and 13 were 4-part, with predominance to elderly and female. Out of 36 total patients 32 (20 3-part and 12 4-part) were operated by PHILOS. Results: In 3-part fracture CMS and ASES score at 6 month follow up were 78.5 and 77 respectively and in 4 part fracture functional score at 6 month follow-up CMS-62 and ASES 64.2. Conclusion: Patient with 3-part fracture showed good recovery and good functional recovery, but guarded by the age and other patient related factor. In 4-part fracture the functional recovery and union are fracture dependent as the patient did not complain of pain and stiffness, but in a demanding patient ROM and joint ability is compromised. This limitation of the management choice in these fracture are highly directed by the status and requirement of patient, it showed good result in 3-part fracture but 4part fracture results were not satisfactory.

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“…In order to minimize the complications like pin site infection, loosening, neurovascular damage, techniques such as fixed pin site insertion and threaded pins in osteoporotic patients are used. So percutaneous pinning is a safe and novel method of management of unstable proximal humeral fractures if certain principles are borne in mind before using it 6 . Many literatures and treatment modalities are available on this topic.…”

Section: Introductionmentioning

confidence: 99%

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

Chavhan

Kelkar

Mahajan

2021

mvpjms

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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.

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Evaluation of percutaneous pinning in unstable proximal humeral fractures: A novel technique

Cited by 3 publications

References 3 publications

To asses the functional outcome of 2-part and 3-part proximal humerus fracture treated by proximal humerus nail and percutaneous fixation

To asses the functional outcome of 2-part and 3-part proximal humerus fracture treated by proximal humerus nail and percutaneous fixation

To assess the functional outcome of 3-Part and 4-Part proximal humerus fracture treated by philos

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

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