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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Orthop+Traumatol
2002 ; 2
(3
): 157-64
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Percutaneous elastic fixation of proximal humeral fractures: operative
indications, techniques, results and complications
#MMPMID24604495
Rosa MA
; Maccauro G
; Nizegorodcew T
; Falcone G
; Di Segni F
J Orthop Traumatol
2002[Jun]; 2
(3
): 157-64
PMID24604495
show ga
We present a technique of osteosynthesis of proximal humeral fractures using
Kirschner wires, assembled in an elastic manner. We report 29 patients (mean age,
68 years) with types II, III and V fractures, according to Neer's classification,
treated with closed or open (seldom) reduction and percutaneous pinning. The pin
placement was antegrade: the wires started on the epiphysis and aimed at the
diaphysis, with the proximal ends fixed with an external clamp and the distal
ends crossed and laying on the endosteal surface. Patients were evaluated with
the Constant-Murley scale at the end of treatment. Radiological and clinical
outcome was satisfactory in all but one patient, in whom the closed reduction was
insufficient. Percutaneous elastic pinning is an effective treatment of proximal
humeral fractures. If necessary, it should be associated with open reduction.