[Treatment of proximal fracture of humerus by percutaneous antegrade Kirschner pinning].
OBJECTIVE
To summarize and analyze the clinical indication, surgical techniques and results of percutaneous antegrade Kirschner pinning in the treatment of proximal fracture of humerus.


METHODS
Thirty-two patients with displaced fractures of the proximal humerus were treated with 2 to 3 Kirschner wires by percutaneous antegrade transfixation. Among 32 casas, there were 7 male and 25 female, with a mean age of 49.25 years (range, from 28 to 75 years). According to the Neer fracture classification, there were 20 cases of 2-part, 9 of 3-part, and 3 of 4-part fractures.


RESULTS
All patients were followed up for 8 to 34 months with an average of 13.5 months. According to Constant-Murley evaluation, the results were excellent in 21 cases, good in 9, fair in 2.


CONCLUSIONS
Percutaneous antegrade transfixaton is a good technique for the management of displaced 2-part fractures of the proximal humerus and also alternative to 3-part or 4-part fractures.
Kong
Ling-Ying
LY
Department of Orthopaedics, 6th Hospital of Beijing, Beijing 100007, China. Klying12@sina.com
Liu
Rui-Bo
RB
Zhou
Huai-Dong
HD
D000328:Adult; D000368:Aged; D001864:Bone Wires; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged