Percutaneous fixation of unstable proximal humeral fractures with cannulated screws.
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.
Watford
Kyle E
KE
Medical University of South Carolina, Charleston, South Carolina, USA.
Jazrawi
Laith M
LM
Eglseder
W Andrew
WA
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