2018
DOI: 10.3126/jucms.v5i1.19057
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Fracture of Proximal Humerus & Shaft Managed With Closed Reduction & External Fixation by Joshi External Stabilisation System (Jess) – A Case Report

Abstract: We are presenting a case of proximal humerus& shaft fracture in a 50 year old female. She sustained injury on her left upper limb in a road traffic accident. It was managed with closed reduction & external fixation by Joshi External Stabilisation System (JESS). Lacerated wound over her left shoulder & arm region was managed with skin grafting. The post-operative period was uneventful.

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Cited by 1 publication
(2 citation statements)
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“…5,11 With extensive dissection there is always a risk of infection as well and implant removal are also associated with neurovascular injuries. [10][11][12]20 The frame is less cumbersome due to lighter framework and allows multidirectional pin placement and can be removed with slight sedation. In our study, we used three pins of 2.5 millimeter diameter in proximal humeral fragment and two pins distally.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…5,11 With extensive dissection there is always a risk of infection as well and implant removal are also associated with neurovascular injuries. [10][11][12]20 The frame is less cumbersome due to lighter framework and allows multidirectional pin placement and can be removed with slight sedation. In our study, we used three pins of 2.5 millimeter diameter in proximal humeral fragment and two pins distally.…”
Section: Discussionmentioning
confidence: 99%
“…Implant removal is also hassle-free which can be done in outpatient basis. [10][11][12] Traditional conservative treatment technique by a hanging arm cast fails to give proper reduction leading to malunion and shoulder stiffness while more recent proximal humerus locking plates are not easily available; it requires ample dissection threatening blood supply to fracture fragments. With dissection there always prevails risk for infection and implant removal is also a major surgery.…”
Section: Introductionmentioning
confidence: 99%