Vol. 7, Issue 1, Part A (2023)

Closed reduction and percutaneous pinning for paediatric proximal humeral fractures

Author(s):

Dr. Mir Sami Ullah, Dr. Shiran Rafiq, Dr. Jaspreet, Dr. Khurshid Ahmad Kangoo and Dr. Ishfaq Sadiq Mir

Abstract:
Introduction: 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 patients.
Materials and Methods: We conducted this prospective study in Govt. Bone and Joint Hospital Barzulla an associated Hospital of Govt. Medical College Srinagar. A total of 18 paediatric patients with proximal humeral fractures were enrolled in this study between July 2019 and June 2022. The mean age of the study population was 10.98 (range 7-15) years.
Results: Average time to union was 5 and a half week with a range from 4 and a half to 6 and a half weeks. Average time to pin removal was 5 (range 4-6) weeks.
As per Constant- Murley scoring criteria 13 (72.22%) patients were excellent, 3 (16.67%) were good and 2 (11.11%) were fair. Among 18 patients, 16 (88.89%) had no pain at the end of the follow-up. 13 (72.22%) patients had active flexion above 1500. There were 15 patients with full muscle strength. In this study superficial wound infection was seen in 3 (16.67%) patients which subsided with oral antibiotics. In 1 (5.56%) patient of stiffness physiotherapy was done and achieved good result. 14 (77.78%) patients showed no complications.
Conclusion: Closed reduction and percutaneous pinning gives more stability for the severely displaced proximal humeral fractures with rotational or angular instability in paediatric population.

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How to cite this article:
Dr. Mir Sami Ullah, Dr. Shiran Rafiq, Dr. Jaspreet, Dr. Khurshid Ahmad Kangoo and Dr. Ishfaq Sadiq Mir. Closed reduction and percutaneous pinning for paediatric proximal humeral fractures. Nat. J. Clin. Orthop. 2023;7(1):01-04. DOI: https://doi.org/10.33545/orthor.2023.v7.i1a.380