Surgical Treatment of Pediatric Proximal Humeral Fracture by Percutaneous Pinning | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 2, Volume 81, Issue 6, October 2020, Pages 2110-2114 PDF (493.31 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2020.127708 | ||
| Authors | ||
| Omar Abd-Wahab Kelany; Waleed Mohammed Nafea; Mohamed Ismael AbdelRhman Kotb; Mohamed Abdusalam Omar Idrah* | ||
| Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt. | ||
| Abstract | ||
| Background: Proximal humeral fracture pattern varies based on the mechanism of injury and the patient’s age at the time of the injury. The purpose of this study was to prove short-term clinical and radiographic results of closed reduction and percutaneous pinning in displaced proximal humeral fractures in pediatric by K-wire. Subjects and Methods: This was clinical trial study included 18 children with proximal humeral fracture; their age ranged from 8 to 15 years with mean age 11.88 ± 2.08 with closed proximal humeral fracture between November 2019 and June 2020 at Zagazig University Hospital by closed reduction and percutaneous pinning under image intensifier using Kirschner-wires. Results: This study showed that 12 cases had no complication (66.7%), 3 cases had stiffness (16.7%), 2 cases had superficial infection (11.1%) and 1 case had loss of reduction (5.6%) and treated by K-wire removal, arm sling stabilizer. Two cases of superficial infection did not necessitate early removal of K-wires. All of them were treated with oral antibiotics. Conclusions: Additional K-wires through the lateral cortex give more stability for the severely displaced fractures with rotational or angular instability mainly type 4 fractures. | ||
| Keywords | ||
| Closed reduction; Kirschner-wires; Proximal Humeral Fracture; Percutaneous pinning | ||
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