Closed percutaneous K-wire stabilization for displaced fractures of the surgical neck of the humerus

Percutaneous K-Wire Fixation for a Comminuted Proximal Humerus Fracture – A Case Report.

“…Here we planned for a closed reduction and internal fixation due to patient's poor compliance, her elderly age and other co-morbid conditions. The results of closed reduction and percutaneous pinning are favorable in most series [7][8][9][10][12][13][14][15]. The largest two series have been published by Jaberg and associates 7 and Resch and associates [8,12].…”

“…Although these approaches to more complex fractures are challenging, vascularity of the humeral head seems to be more reliably preserved than in open treatments that require soft-tissue dissection to place rigid fixation implants [11]. The incidence of osteonecrosis is reduced with these methods [8][9][10][12][13][14][15][16] because the principal vascular supply to the humeral head, the ascending branch of the anterior circumflex humeral artery, is left undisturbed with no dissection in the region of the bicipital groove or around the subscapularis (Figure 1 Her Hemoglobin initially at the time of admission was 3.7gm/dL i.e., she was severely anemic and rest of the routine blood investigations were found to be normal. Her 2D-Echo revealed AV sclerosis, mild to moderate MR with mild TR/PAH.…”

The Operative Management of Displaced Fractures of the Proximal Humerus

“…Many techniques have been described, all of which entail closed reduction and percutaneous pinning of the fragments using an image intensifier either under local, regional or general anaesthesia. [44][45][46][47][48] Two to three K-wires are inserted into the cephalic fragment from the distal insertion of the deltoid and another two to three into the fragment of the tuberosity from above. Care must be taken to avoid the axillary nerve and other neurovascular structures.…”

Resultados do tratamento das fraturas do terço proximal do úmero com placas de bloqueio

“…In fractures with deviations and unstable fractures, surgical treatment is indicated. There are different fracture fixation methods such as the use of plates and screws, [4][5][6][7] percutaneous fixation with metallic wires, 8 tension band, 9 external fixation, 10 fixed-angle plates, 11 proximal locking plates 12 and arthroplasty. 13,14 All the fixation methods have their advantages and disadvantages.…”