title: Percutaneous fixation of unstable proximal humeral fractures with cannulated screws.
abstract: Proximal humeral fractures treated at level I trauma centers are typically displaced, unstable, high-energy injuries associated with injuries to other extremities and closed head injuries. One method that can be used to treat 2-part proximal humeral fractures, if the patient meets certain criteria, is closed reduction and percutaneous cannulated screw fixation. We conducted a retrospective review of 20 consecutive patients treated with this technique, and complete follow-up data were available for 14. Thirteen achieved union and functional range of motion at a mean of 10.5 weeks. Three experienced complications: failure of fixation, infection, and heterotopic ossification. The technique of closed reduction and percutaneous cannulated screw fixation is safe and effective for proximal humeral fractures in carefully selected patients.
authors.affiliation: Medical University of South Carolina, Charleston, South Carolina, USA.
authors.forename: Kyle E
authors.initials: KE
authors.lastname: Watford
authors.forename: Laith M
authors.initials: LM
authors.lastname: Jazrawi
authors.forename: W Andrew
authors.initials: WA
authors.lastname: Eglseder
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014193:Trauma Centers; D055815:Young Adult