Management of unstable comminuted proximal humerus fractures with percutaneous pinning: A prospective study

Abstract

Introduction: Management of unstable comminuted proximal humeral fractures has remained controversial since ages. Open reduction and internal fixation have resulted in devastating complications like stiffness of shoulder joint, avascular necrosis, infection, etc. This study was undertaken to see the functional outcome in management of unstable comminuted proximal humerus fractures treated by a novel method of percutaneous pinning with multiple k wires. Materials and Methods: In this prospective study conducted at MVJMC&RH, 20 patients with unstable comminuted proximal humerus fractures were treated with percutaneous pinning with multiple k wires from June 2018 to November 2020 Results: According to the Constant scoring system, two patients (10%) had an excellent score, fifteen patients (75%) had a good score, and two patients (10%) had a fair and 1 patient (5%) had poor score. Conclusion: In view of the results obtained from our study, percutaneous pinning is a safe and novel method of management of unstable comminuted proximal humeral fractures with fewer complications.