Closed Reduction and Percutaneous Fixation of Proximal Humerus Fractures

Background: Fracture of the proximal humerus represents the second most common (29.1%) fracture type in the upper extremity after Colle's fracture (37.2%) of the wrist. Signicant controversy continues regarding the best modality for treating displaced proximal humerus fractures. The objective of our study is to comparatively evaluate the functional outcome of ORIF with Proximal Humerus Internal Locking System (PHILOS) and Close Reduction and Percutaneous Fixation with K-wires in proximal humerus fractures. Method: A prospective study was conducted after getting ethical approval at N.S.C.B. Medical College & Hospital, Jabalpur, (M.P.) upon 50 cases admitted with proximal humerus fractures as per inclusion criteria. 25 cases were treated with PHILOS plate in group A and 25 patients were treated with Closed Reduction and Percutaneous Fixation with K-wires in group B. Post op follow up was done at 6 weeks and 12 weeks and functional outcome evaluated by Neer's scoring criteria. Results: Out of 50 cases, excellent scores was obtained in 22 (88%) cases treated with PHILOS in group A, and 18 (72%) cases treated with k-wire xation in group B, satisfactory score was obtained in 3 (12%) in Group A and 6 (24%) in Group B. Conclusion: We obtained excellent results in both groups with each procedure having its own advantage and disadvantages. We found that PHILOS provides secure xation with better functional outcome in terms of range of motion. Fixation with Percutaneous K-wires is also efcient treatment option with intraoperative advantage in terms of invasiveness, blood loss and time taken for surgery with least tissue dissection than PHILOS plating

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Closed Reduction and Minimally Invasive Percutaneous Fixation of Proximal Humerus Fractures Using the Humerusblock

Journal of Orthopaedic Trauma ◽

10.1097/bot.0b013e3181c81b1c ◽

2010 ◽

Vol 24 (7) ◽

pp. 407-413 ◽

Cited By ~ 36

Author(s):

Alexander Brunner ◽

Knut Weller ◽

Sebastian Thormann ◽

Jens-Arne Jöckel ◽

Reto Babst

Keyword(s):

Minimally Invasive ◽

Closed Reduction ◽

Proximal Humerus ◽

Proximal Humerus Fractures ◽

Percutaneous Fixation ◽

Humerus Fractures

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Closed Reduction and Percutaneous Fixation in the Treatment of Proximal Humerus Fractures

Journal of the Korean Fracture Society ◽

10.12671/jksf.2002.15.2.173 ◽

2002 ◽

Vol 15 (2) ◽

pp. 173

Author(s):

Seung Ju Jeon ◽

Hyung Ku Yoon ◽

Ho Seung Jeon ◽

Kye Nam Cho ◽

Hyung Sam Kim

Keyword(s):

Closed Reduction ◽

Proximal Humerus ◽

Proximal Humerus Fractures ◽

Percutaneous Fixation ◽

Humerus Fractures

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Clinico-radiological outcome of closed reduction and percutaneous fixation of proximal humerus fractures

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2018.v4.i1i.90 ◽

2018 ◽

Vol 4 (1i) ◽

pp. 614-618

Author(s):

Dr. Dharmendra Kumar ◽

Dr. Neerav Anand Singh ◽

Dr. Anurag Shukla ◽

Dr. Nayeem Sharief ◽

Dr. Parvez Kazi

Keyword(s):

Closed Reduction ◽

Proximal Humerus ◽

Proximal Humerus Fractures ◽

Percutaneous Fixation ◽

Radiological Outcome ◽

Humerus Fractures

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A Comparative Study of Open Reduction and Internal Fixation with PHILOS Plate versus Closed Reduction and Fixation with Percutaneous K Wiring of Neer’s 2-Part and 3-Part Proximal Humerus Fractures

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2020/466 ◽

2020 ◽

Vol 7 (40) ◽

pp. 2247-2250

Author(s):

Mahesh Gangaiah ◽

Monesh Kanakappa Basavaraj ◽

Balaraj Gowda Hanumantappa ◽

Girish Halasinanagenahalli Rudrappa ◽

Balakrishnan Honnapura Doppapettigama ◽

...

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Closed Reduction ◽

Open Reduction ◽

Proximal Humerus ◽

Plate Versus ◽

Proximal Humerus Fractures ◽

Philos Plate ◽

Humerus Fractures

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TREATMENT OF PROXIMAL HUMERUS FRACTURES AND OUTCOME – A PROSPECTIVE STUDY

10.36106/ijar/1402889 ◽

2021 ◽

pp. 84-87

Author(s):

S. Kishore Babu ◽

S. Rajeswara Rao ◽

Pamu.bala Avinash

Keyword(s):

Closed Reduction ◽

Evaluation Method ◽

Proximal Humerus ◽

Treatment Options ◽

Method Comparison ◽

Fracture Pattern ◽

Proximal Humerus Fractures ◽

Chi Square ◽

Study Results ◽

Humerus Fractures

BACKGROUND: Proximal humerus fractures are commonest fractures account for about 4 – 5% of the fractures.Complicated fracture pattern in proximal humerus are increasing due to increase inincidence of high velocity trauma. Because of inconsistency in fracture classication, treatment and evaluation method,comparison of these fractures are impeded. This studydetermines and compare the results of different modalities of xations in proximal humerus fractures and outcome. MATERIALS AND METHODS: This study was done from August 2018 to February 2020 in king Georgehospital,Visakhapatnam. Total 32 patients with proximal humerus fractures were operatedwith different modalities depend on fracture pattern.The results were evaluated using the Neers Shoulder Scoring System. RESULTS:The results show that most Neer's two part fracture had excellent to satisfactory results (85%). Neer's three part fracture also had 73% excellent to satisfactory results. Neer's four part fracture which went into failure. This study results were compared with other studies by using chi square test. CONCLUSION: The management modality depended on the pattern of the fracture andthequality of the bone .The patient's goals with treatment options for these displaced fractures included closed reduction and percutaneous screws xation (13% cases), closed reduction and percutaneous k- wires xation (9% cases) ,open reduction and internal xation (78 % cases).

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Percutaneous Fixation of Proximal Humerus Fractures

Orthopedic Clinics of North America ◽

10.1016/j.ocl.2008.05.005 ◽

2008 ◽

Vol 39 (4) ◽

pp. 405-416 ◽

Cited By ~ 36

Author(s):

Brian Magovern ◽

Matthew L. Ramsey

Keyword(s):

Proximal Humerus ◽

Proximal Humerus Fractures ◽

Percutaneous Fixation ◽

Humerus Fractures

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Skin Entrapment in an Un-displaced Proximal Humerus Fracture Treated with Closed Reduction; A Case Report

The Open Orthopaedics Journal ◽

10.2174/1874325001610010120 ◽

2016 ◽

Vol 10 (1) ◽

pp. 120-124

Author(s):

Michael Hughes ◽

Antonio Frasquet-Garcia ◽

Mobeen Ismail ◽

Mohammad Waseem

Keyword(s):

Closed Reduction ◽

Proximal Humerus Fracture ◽

Proximal Humerus ◽

Rare Complication ◽

Low Energy ◽

Humerus Fracture ◽

Proximal Humerus Fractures ◽

The United Kingdom ◽

Literature Searches ◽

Humerus Fractures

Background: Proximal humerus fractures are a common presentation to Orthopaedic services in the United Kingdom, and the incidence is increasing. Proximal humerus fractures are usually associated with low energy trauma in elderly patients. There is a sub-set of younger patients who suffer low energy fractures due to underlying osteopenia, commonly associated with alcohol excess. Skin puckering or dimpling has been described as a very rare complication of proximal humerus fracture. Based on the few previously published reports of this complication, skin entrapment in proximal humerus fracture is usually predictive of failure of closed reduction, and need for open surgery. Methods: Literature searches were carried out for relevant keywords. Articles were then critically appraised before being included in the literature review. Results: The Authors were only able to identify three previous reports of this rare complication. Conclusion: The authors describe a rare case of skin interposition in an un-displaced proximal humerus fracture, outline a technique for closed reduction, and review the current literature surrounding this rare complication.

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