Comparison of open reduction internal fixation with proximal humerus interlocking system and close reduction and pinning with K-wire in proximal humeral fracture

Vijay, Akshat; Kumar, M Ravi; Bhaskar, SK; Rao, BS; Gandhi, Mahima

doi:10.4103/jotr.jotr_11_17

Cited by 7 publications

(11 citation statements)

References 19 publications

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“…In the present study, most common fracture type was two part (n=13), followed by three part (n=8) on the basis of Neer's classification. Similar observations were reported by Jagiasi et al, Shiva et al and Rangan et al [20][21][22][23] The incidence of 3 part fractures was higher in a study of Muncibi et al 8…”

Section: Discussionsupporting

confidence: 83%

“…In our study, the maximum incidence of proximal humeral fracture was observed in 5 th decade with mean age 44.2 years, which has similar results as compared to Gerber et al (44.9 years), Jagiasi et al (47.1 years), and Vijay et al (51.29). [19][20][21] In comparison to incidence of PHF of our study to Vijay et al our study has lesser mean age. 21 This is due to the younger group of patients selected in the present study.…”

Section: Discussionmentioning

confidence: 42%

“…[19][20][21] In comparison to incidence of PHF of our study to Vijay et al our study has lesser mean age. 21 This is due to the younger group of patients selected in the present study.…”

Section: Discussionmentioning

confidence: 42%

“…Our study had results similar to study given by Jagiasi et al and Bansal et al 20,22 A study by Vijay et al had observed female predominance. 21 This can be explained by the younger age group of patients in our study in which males are outdoors to earn livelihood, and elderly females with osteoporosis have higher risk of fracture with minor fall.…”

Section: Discussionmentioning

confidence: 77%

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Functional outcome evaluation of Neer’s two part and three part proximal humeral fractures treated by percutaneous K-wire fixation in a tertiary care hospital in North India: a prospective study of 21 patients

Spolia

Ghani

2021

Int J Res Orthop

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Background: The treatment of proximal humeral fractures is controversial. The advantages of percutaneous Kirschner’s wire (K-wire) fixation include preservation of periosteal blood supply, minimal blood loss, less soft tissue damage and shorter hospital stay. The aim of this study was to evaluate the 2 part and 3 part proximal humeral fractures in terms of functional outcome at final follow up.Methods: This was a prospective study of 21 patients aged 20 to 60 years with mean age of 44.2 years including two part and three part proximal humeral fractures based on Neer’s classification, treated by percutaneous K-wire fixation. Functional outcome was assessed by Constant-Murley score at 1 year follow up.Results: On the basis of Neer’s classification, 13 patients had 2 part fracture, 8 patients had 3 part fracture. Radiological union was achieved within 7 to 15.2 weeks, with an average of 11.6 weeks. The mean constant score at 1 year follow up was 78.2, range (42 to 96). In the present study, complications were seen in 8 (38.1%) patients. The results were in proximity with the existing literature.Conclusions: Percutaneous fixation is minimally invasive technique with preservation of periosteal blood supply, minimal blood loss, less soft tissue damage, surgery can be done under brachial plexus block, less chances of avascular necrosis, shorter hospital stay, no hardware in situ, thus no hardware symptoms, leaves no surgical scar and lowers the rate of complications.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 42%

“…[19][20][21] In comparison to incidence of PHF of our study to Vijay et al our study has lesser mean age. 21 This is due to the younger group of patients selected in the present study.…”

Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 77%

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Functional outcome evaluation of Neer’s two part and three part proximal humeral fractures treated by percutaneous K-wire fixation in a tertiary care hospital in North India: a prospective study of 21 patients

Spolia

Ghani

2021

Int J Res Orthop

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“…In a study conducted by fazal et al it was seen that PHILOS plate fixation provided stable fixation with minimal implant problems and enabled early range of motion exercises to achieve acceptable functional results. (16) Mean Neer's score for ROM was significantly more in patients treated with PHILOS Akshatvijay, et al (17) In the present study it was concluded that PHILOS plate provide stable fixation even in comminuted multifragmented osteoporotic proximal humerus fracture with advantage of anatomical reduction and early rehabilitation.…”

Section: Discussionsupporting

confidence: 50%

Outcome of proximal humeral fracture fixation with K wires Vs Philos plating

Singh¹

2020

IJOTSS

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Introduction-Proximal humerus fractures represent one of the most common fracture type in upper extremity. Aim-this study aimed to see outcome of proximal humeral fracture fixation with K wires vs PHILOS plating. Material and Method-A prospective study was conducted overthree years of a total of 50 patients with proximal humerus fracture. Patients were divided into two groups by randomized controlled trial .Group 1 included 25 patients who were treated with closed reduction and percutaneous k wire fixation. Group 2 included 25 patients who were treated with ORIF with PHILOS plate .All these 50 patients were followed up for mean duration of 12 months. Results-Mean neer score at final follow up was 80 in group 1 patients while it was 90 in group 2 patients As per the Neers scoring system ; 7 patients (28%) in group 1 had excellent results ,12 patients(48%)had satisfactory Results,2 patients(8%) had unsatisfactory results while 4 patients (16%) had poor outcome For Group 2 ,as per Neers scoring system 12 patients (48%) had excellent results,9 patients (36%) had satisfactory results, 2 patients (8%) had unsatisfactory results while 2 patients (8%) had poor outcome. Conclusion-In conclusion it was found that Kwires fixation for proximal humerus fractures type III and type IV (Neer's) gives inferior results than proximal humerus interlocking system (PHILOS).

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Modified Minimally Invasive Reduction and Osteosynthesis System Technique for Fixation of Proximal Humeral Fractures versus Multiple K-Wires Fixation

Salem

Elsoufy

El-Adawy

et al. 2022

The Egyptian Journal of Hospital Medicine

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Comparison of open reduction internal fixation with proximal humerus interlocking system and close reduction and pinning with K-wire in proximal humeral fracture

Cited by 7 publications

References 19 publications

Functional outcome evaluation of Neer’s two part and three part proximal humeral fractures treated by percutaneous K-wire fixation in a tertiary care hospital in North India: a prospective study of 21 patients

Functional outcome evaluation of Neer’s two part and three part proximal humeral fractures treated by percutaneous K-wire fixation in a tertiary care hospital in North India: a prospective study of 21 patients

Outcome of proximal humeral fracture fixation with K wires Vs Philos plating

Modified Minimally Invasive Reduction and Osteosynthesis System Technique for Fixation of Proximal Humeral Fractures versus Multiple K-Wires Fixation

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