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127708

Surgical Treatment of Pediatric Proximal Humeral Fracture by Percutaneous Pinning

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Last updated: 24 Dec 2024

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Abstract

Background: Proximal humeral fracture pattern varies based on the mechanism of injury and the patient's age at the time of the injury. The purpose of this study was to prove short-term clinical and radiographic results of closed reduction and percutaneous pinning in displaced proximal humeral fractures in pediatric by K-wire. Subjects and Methods: This was clinical trial study included 18 children with proximal humeral fracture; their age ranged from 8 to 15 years with mean age 11.88 ± 2.08 with closed proximal humeral fracture between November 2019 and June 2020 at Zagazig University Hospital by closed reduction and percutaneous pinning under image intensifier using Kirschner-wires. Results: This study showed that 12 cases had no complication (66.7%), 3 cases had stiffness (16.7%), 2 cases had superficial infection (11.1%) and 1 case had loss of reduction (5.6%) and treated by K-wire removal, arm sling stabilizer. Two cases of superficial infection did not necessitate early removal of K-wires. All of them were treated with oral antibiotics. Conclusions: Additional K-wires through the lateral cortex give more stability for the severely displaced fractures with rotational or angular instability mainly type 4 fractures.

DOI

10.21608/ejhm.2020.127708

Keywords

Closed reduction, Kirschner-wires, Proximal Humeral Fracture, Percutaneous Pinning

Authors

First Name

Omar Abd-Wahab

Last Name

Kelany

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt.

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First Name

Waleed Mohammed

Last Name

Nafea

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt.

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Orcid

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First Name

Mohamed Ismael AbdelRhman

Last Name

Kotb

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt.

Email

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City

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Orcid

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First Name

Mohamed Abdusalam Omar

Last Name

Idrah

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine – Zagazig University, Egypt.

Email

edrahmoha@gmail.com

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Orcid

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Volume

81

Article Issue

6

Related Issue

19068

Issue Date

2020-10-01

Receive Date

2020-12-05

Publish Date

2020-10-01

Page Start

2,110

Page End

2,114

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_127708.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=127708

Order

2

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Surgical Treatment of Pediatric Proximal Humeral Fracture by Percutaneous Pinning

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Article

Created At

22 Jan 2023