Background: Percutaneous pinning is a minimally invasive treatment with a limited number of applications for fractures of the proximal humerus.
Objective: to assesswhether closed reduction with percutaneous pinning gives sufficient stability to allow early active range of motion and eventual bone healing in the proximal humerus.
Patients and Methods: 18 patients with age above 18 years with closed proximal humeral fracture in adults at Zagazig University Hospital by closed reduction and percutaneous pinning by K-wire were the subject of our study. Percutaneous K-wire fixation was used to treat the patients. We followed up patients and evaluated our results at 1, 3 then 6 months according to constant score (CS).
Results: The radiographic union of all but one of the patients occurred by 12 weeks. Intraoperatively, there were no serious issues, eighteen patients had superficial (mild) pin tract infection (100%), One patient had delayed union (5.6%), the last patient had pin loosening (5.6%), and no patient had nonunion or avascular necrosis (AVN). The average Constant-Murley score was 81.
Conclusion: By using a closed reduction with percutaneous pinning (CRP) to stabilise fractures of two and three parts, the advantages of minimum soft tissue invasiveness and less blood loss can be achieved.